Provider Demographics
NPI:1336367614
Name:KIDS N MOTION PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:KIDS N MOTION PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:828-692-9944
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:EDNEYVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28727-0009
Mailing Address - Country:US
Mailing Address - Phone:828-692-9944
Mailing Address - Fax:828-692-9945
Practice Address - Street 1:2560 CHIMNEY ROCK RD
Practice Address - Street 2:SUITE F
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-8108
Practice Address - Country:US
Practice Address - Phone:828-692-9944
Practice Address - Fax:828-692-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28682251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC06777OtherBCBSNC
NC7212101Medicaid