Provider Demographics
NPI:1669178612
Name:MOTION360 THERAPY, LLC
Entity type:Organization
Organization Name:MOTION360 THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:GESSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:615-942-0380
Mailing Address - Street 1:3810 CENTRAL PIKE STE 105
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-3495
Mailing Address - Country:US
Mailing Address - Phone:615-942-0380
Mailing Address - Fax:866-422-1262
Practice Address - Street 1:3810 CENTRAL PIKE STE 105
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-3495
Practice Address - Country:US
Practice Address - Phone:615-942-0380
Practice Address - Fax:866-422-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty