Provider Demographics
NPI:1659493906
Name:IN MOTION ADVISORY, LLC
Entity Type:Organization
Organization Name:IN MOTION ADVISORY, LLC
Other - Org Name:PEAK PERFORMANCE IN MOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:DEANN
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:979-696-4800
Mailing Address - Street 1:12845 FM 2154 RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-4046
Mailing Address - Country:US
Mailing Address - Phone:979-696-4800
Mailing Address - Fax:979-695-6947
Practice Address - Street 1:12845 FM 2154 RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4046
Practice Address - Country:US
Practice Address - Phone:979-696-4800
Practice Address - Fax:979-695-6947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX651320001261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDE5710OtherRAILROAD MEDICARE
TXDE5710OtherRAILROAD MEDICARE