Provider Demographics
NPI:1568738870
Name:PURE MOTION PT
Entity Type:Organization
Organization Name:PURE MOTION PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:GATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-652-0085
Mailing Address - Street 1:9190 W OLYMPIC BLVD
Mailing Address - Street 2:SUITE 422
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3540
Mailing Address - Country:US
Mailing Address - Phone:310-652-0085
Mailing Address - Fax:310-652-1002
Practice Address - Street 1:8500 WILSHIRE BLVD
Practice Address - Street 2:PENTHOUSE
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3121
Practice Address - Country:US
Practice Address - Phone:310-652-0085
Practice Address - Fax:310-652-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty