Provider Demographics
NPI:1619351541
Name:INMOTION PROSTHETICS AND ORTHOTICS LLC
Entity Type:Organization
Organization Name:INMOTION PROSTHETICS AND ORTHOTICS LLC
Other - Org Name:TEXAS PROSTHETIC SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-910-2073
Mailing Address - Street 1:16250 KNOLL TRAIL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-2866
Mailing Address - Country:US
Mailing Address - Phone:817-251-2220
Mailing Address - Fax:866-981-5223
Practice Address - Street 1:16250 KNOLL TRAIL DR STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-2866
Practice Address - Country:US
Practice Address - Phone:817-251-2220
Practice Address - Fax:866-981-5223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
335E00000X
TX101603335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier