Provider Demographics
NPI:1417158569
Name:THERAPY IN MOTION, INC.
Entity Type:Organization
Organization Name:THERAPY IN MOTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANICA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:512-248-1200
Mailing Address - Street 1:2301 RED BUD LN STE 300
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-9741
Mailing Address - Country:US
Mailing Address - Phone:512-248-1200
Mailing Address - Fax:512-248-1203
Practice Address - Street 1:2301 RED BUD LN STE 300
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-9741
Practice Address - Country:US
Practice Address - Phone:512-248-1200
Practice Address - Fax:512-248-1203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1075349225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X606Medicare PIN