Provider Demographics
NPI:1629948872
Name:STAY IN MOTION PT PLLC
Entity type:Organization
Organization Name:STAY IN MOTION PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKWORTH-CHRUSCIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:734-251-3046
Mailing Address - Street 1:30990 S WIXOM RD
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-2420
Mailing Address - Country:US
Mailing Address - Phone:734-251-3046
Mailing Address - Fax:855-754-1147
Practice Address - Street 1:30990 S WIXOM RD
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-2420
Practice Address - Country:US
Practice Address - Phone:734-251-3046
Practice Address - Fax:855-754-1147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy