Provider Demographics
NPI:1942508700
Name:JOINTS IN MOTION PHYSICAL THERAPY AND WELLNESS, LLC
Entity Type:Organization
Organization Name:JOINTS IN MOTION PHYSICAL THERAPY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-754-9007
Mailing Address - Street 1:209 SAINT JAMES AVE STE 2B
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-2998
Mailing Address - Country:US
Mailing Address - Phone:843-793-4466
Mailing Address - Fax:843-793-3786
Practice Address - Street 1:209 SAINT JAMES AVE STE 2B
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-2998
Practice Address - Country:US
Practice Address - Phone:843-793-4466
Practice Address - Fax:843-793-3786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6304261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy