Provider Demographics
NPI:1467467944
Name:MOTION THERAPY INC.
Entity Type:Organization
Organization Name:MOTION THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:727-867-1944
Mailing Address - Street 1:4300 52ND AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-4694
Mailing Address - Country:US
Mailing Address - Phone:727-867-1944
Mailing Address - Fax:727-867-1944
Practice Address - Street 1:4300 52ND AVE S
Practice Address - Street 2:MOTION THERAPY INC.
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-4694
Practice Address - Country:US
Practice Address - Phone:727-867-1944
Practice Address - Fax:727-867-1944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty