Provider Demographics
NPI:1396160024
Name:ABILITIES IN MOTION LLC
Entity type:Organization
Organization Name:ABILITIES IN MOTION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-245-0253
Mailing Address - Street 1:5701 CHEVIOT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7007
Mailing Address - Country:US
Mailing Address - Phone:513-245-0253
Mailing Address - Fax:
Practice Address - Street 1:5701 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-7007
Practice Address - Country:US
Practice Address - Phone:513-245-0253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLO147335E00000X
OHLP133335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000000004OtherANTHEM PROVIDER NUMBER
OH0101795Medicaid
OH5348349OtherCIGNA PROVIDER NUMBER
IN200109890AMedicaid
OH2067978OtherAETNA PROVIDER NUMBER
KY90003468Medicaid
OH5348349OtherCIGNA PROVIDER NUMBER
KY90003468Medicaid