Provider Demographics
NPI:1477063170
Name:MOTIONLIFE PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:MOTIONLIFE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT
Authorized Official - Prefix:
Authorized Official - First Name:AMR
Authorized Official - Middle Name:
Authorized Official - Last Name:ELZEIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-406-2267
Mailing Address - Street 1:4488 LOWER PARK RD UNIT 3310
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6399
Mailing Address - Country:US
Mailing Address - Phone:407-406-2267
Mailing Address - Fax:
Practice Address - Street 1:7555 SCARLET DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3059
Practice Address - Country:US
Practice Address - Phone:407-406-2267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-07
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty