Provider Demographics
NPI:1720259567
Name:BACK IN MOTION, INC.
Entity Type:Organization
Organization Name:BACK IN MOTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FIORILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:775-746-2206
Mailing Address - Street 1:PO BOX 19735
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2434
Mailing Address - Country:US
Mailing Address - Phone:775-746-2206
Mailing Address - Fax:775-359-3332
Practice Address - Street 1:96 GLEN CARRAN CIR
Practice Address - Street 2:SUITE #103
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5888
Practice Address - Country:US
Practice Address - Phone:775-746-2206
Practice Address - Fax:775-359-3332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0848261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP72313NVMedicare UPIN