Provider Demographics
NPI:1427545573
Name:POSITIVE MOTION PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:POSITIVE MOTION PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMON
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:IV
Authorized Official - Credentials:PT
Authorized Official - Phone:518-650-6962
Mailing Address - Street 1:21A RAILROAD AVE STE B
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-5931
Mailing Address - Country:US
Mailing Address - Phone:518-650-6962
Mailing Address - Fax:
Practice Address - Street 1:21A RAILROAD AVE STE B
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-5931
Practice Address - Country:US
Practice Address - Phone:518-650-6962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037709-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty