Provider Demographics
NPI:1609163237
Name:IN MOTION PHYSICAL THERAPY GROUP LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:IN MOTION PHYSICAL THERAPY GROUP LIMITED LIABILITY COMPANY
Other - Org Name:IN MOTION PHYSICAL THERAPY GROUP, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADVANI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-829-5156
Mailing Address - Street 1:33 BOEHM WAY
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-7140
Mailing Address - Country:US
Mailing Address - Phone:908-829-5156
Mailing Address - Fax:
Practice Address - Street 1:33 BOEHM WAY
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-7140
Practice Address - Country:US
Practice Address - Phone:908-829-5156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-04
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty