Provider Demographics
NPI:1659827632
Name:INSTITUTE FOR PRECISION IN MOVEMENT
Entity Type:Organization
Organization Name:INSTITUTE FOR PRECISION IN MOVEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:LINGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:707-339-0711
Mailing Address - Street 1:394 COMMERCIAL RD
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3708
Mailing Address - Country:US
Mailing Address - Phone:909-747-9347
Mailing Address - Fax:
Practice Address - Street 1:394 COMMERCIAL RD
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3708
Practice Address - Country:US
Practice Address - Phone:909-747-9347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT371582251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty