Provider Demographics
NPI:1750935953
Name:MOTIONS PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:MOTIONS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:769-300-4143
Mailing Address - Street 1:108 ADDISON WAY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-3369
Mailing Address - Country:US
Mailing Address - Phone:662-306-3332
Mailing Address - Fax:
Practice Address - Street 1:7048 OLD CANTON RD STE 1000
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-1008
Practice Address - Country:US
Practice Address - Phone:769-300-4143
Practice Address - Fax:769-300-4964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty