Provider Demographics
NPI:1851478986
Name:MOTION RECOVERY PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:MOTION RECOVERY PHYSICAL THERAPY INC
Other - Org Name:DREIZLER PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MERRY
Authorized Official - Last Name:FLINN
Authorized Official - Suffix:
Authorized Official - Credentials:PT CLT-LANA
Authorized Official - Phone:916-649-0700
Mailing Address - Street 1:650 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825
Mailing Address - Country:US
Mailing Address - Phone:916-649-0700
Mailing Address - Fax:916-649-2087
Practice Address - Street 1:650 UNIVERSITY AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825
Practice Address - Country:US
Practice Address - Phone:916-649-0700
Practice Address - Fax:916-649-2087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ0215ZMedicare ID - Type Unspecified