Provider Demographics
NPI:1083388326
Name:PRO MOTION PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:PRO MOTION PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WERLING
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:512-971-2900
Mailing Address - Street 1:6300 CREEDMOOR RD STE 116
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-6730
Mailing Address - Country:US
Mailing Address - Phone:919-798-8199
Mailing Address - Fax:919-816-2816
Practice Address - Street 1:6300 CREEDMOOR RD STE 116
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-6730
Practice Address - Country:US
Practice Address - Phone:919-798-8199
Practice Address - Fax:919-816-2816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty