Provider Demographics
NPI:1346562964
Name:TOTAL MOTION PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:TOTAL MOTION PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MASRI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:540-585-4841
Mailing Address - Street 1:PO BOX 1632
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24068-1632
Mailing Address - Country:US
Mailing Address - Phone:540-585-4841
Mailing Address - Fax:
Practice Address - Street 1:227 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6093
Practice Address - Country:US
Practice Address - Phone:540-585-4841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA230500684225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
233136189OtherTRICARE
228475OtherMAMSI
650019646OtherMEDICARE RAILROAD
VA650000404Medicare UPIN