Provider Demographics
NPI:1851741631
Name:IN MOTION PHYSICAL THERAPY OF NY PC
Entity Type:Organization
Organization Name:IN MOTION PHYSICAL THERAPY OF NY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SOMMER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:516-659-1087
Mailing Address - Street 1:2 SOULAGNET CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6054
Mailing Address - Country:US
Mailing Address - Phone:516-659-1087
Mailing Address - Fax:516-900-5092
Practice Address - Street 1:121 CAROLYN BLVD
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-1527
Practice Address - Country:US
Practice Address - Phone:516-659-1087
Practice Address - Fax:516-900-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034035-1225100000X
NY040829-1225100000X
NY036606-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty