Provider Demographics
NPI:1205676426
Name:MOTIONMED REHABILITATION LLC
Entity type:Organization
Organization Name:MOTIONMED REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KALAIMATHI
Authorized Official - Middle Name:KANDASAMY
Authorized Official - Last Name:SENTHIL KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:703-825-0209
Mailing Address - Street 1:14259 HART FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-5018
Mailing Address - Country:US
Mailing Address - Phone:703-825-0209
Mailing Address - Fax:
Practice Address - Street 1:14259 HART FOREST DR
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-5018
Practice Address - Country:US
Practice Address - Phone:703-825-0209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-27
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty