Provider Demographics
NPI:1619099728
Name:IN MOTION PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:IN MOTION PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ROMINE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:509-220-7871
Mailing Address - Street 1:7720 E WOODLAND LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99212-1688
Mailing Address - Country:US
Mailing Address - Phone:509-220-7871
Mailing Address - Fax:509-465-9198
Practice Address - Street 1:7720 E WOODLAND LN
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99212-1688
Practice Address - Country:US
Practice Address - Phone:509-220-7871
Practice Address - Fax:509-465-9198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT5463225100000X
WAPT27022251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB19959Medicare PIN