Provider Demographics
NPI:1578277075
Name:BODY IN MOTION MOBILE PHYSICAL THERAPY & WELLNESS INC
Entity Type:Organization
Organization Name:BODY IN MOTION MOBILE PHYSICAL THERAPY & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT, DPT
Authorized Official - Prefix:
Authorized Official - First Name:DEEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:949-228-2946
Mailing Address - Street 1:25182 FAIRGREEN
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-2882
Mailing Address - Country:US
Mailing Address - Phone:949-228-2946
Mailing Address - Fax:
Practice Address - Street 1:25182 FAIRGREEN
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-2882
Practice Address - Country:US
Practice Address - Phone:949-228-2946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty