Provider Demographics
NPI:1497010128
Name:MOMENTUM PHYSICAL THERAPY AND FITNESS, INC.
Entity Type:Organization
Organization Name:MOMENTUM PHYSICAL THERAPY AND FITNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BATCHELDER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:719-351-8436
Mailing Address - Street 1:2219 NORTHGLEN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1631
Mailing Address - Country:US
Mailing Address - Phone:719-351-8436
Mailing Address - Fax:719-465-1043
Practice Address - Street 1:2219 NORTHGLEN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1631
Practice Address - Country:US
Practice Address - Phone:719-351-8436
Practice Address - Fax:719-465-1043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty