Provider Demographics
NPI:1255523130
Name:ACTION IN MOTION INC
Entity type:Organization
Organization Name:ACTION IN MOTION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:SOTO
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-351-3586
Mailing Address - Street 1:3150 CROW CANYON PL STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1716
Mailing Address - Country:US
Mailing Address - Phone:925-831-8559
Mailing Address - Fax:925-831-8821
Practice Address - Street 1:822 HARTZ WAY
Practice Address - Street 2:SUITE 205
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3415
Practice Address - Country:US
Practice Address - Phone:925-831-8559
Practice Address - Fax:925-831-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT11877225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty