Provider Demographics
NPI:1790762102
Name:OPTIONS THROUGH MOVEMENT LLC
Entity Type:Organization
Organization Name:OPTIONS THROUGH MOVEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:541-343-7996
Mailing Address - Street 1:143 E 12TH ALY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3549
Mailing Address - Country:US
Mailing Address - Phone:541-343-7996
Mailing Address - Fax:541-345-9281
Practice Address - Street 1:143 E 12TH ALY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3549
Practice Address - Country:US
Practice Address - Phone:541-343-7996
Practice Address - Fax:541-345-9281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1571225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR117671OtherMEDICARE