Provider Demographics
NPI:1851486203
Name:MOTIONCARE, INC.
Entity Type:Organization
Organization Name:MOTIONCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPSIT/OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BLACKFORD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:651-484-6735
Mailing Address - Street 1:5985 RICE CREEK PKWY STE 104
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-5036
Mailing Address - Country:US
Mailing Address - Phone:651-484-6735
Mailing Address - Fax:651-484-5663
Practice Address - Street 1:5985 RICE CREEK PKWY STE 104
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-5036
Practice Address - Country:US
Practice Address - Phone:651-484-6735
Practice Address - Fax:651-484-5663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNC02775Medicare ID - Type Unspecified