Provider Demographics
NPI:1801970314
Name:HEALTHYMOTION, INC.
Entity type:Organization
Organization Name:HEALTHYMOTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:630-588-0600
Mailing Address - Street 1:135 E SAINT CHARLES RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2078
Mailing Address - Country:US
Mailing Address - Phone:630-588-0600
Mailing Address - Fax:630-588-0606
Practice Address - Street 1:135 E SAINT CHARLES RD
Practice Address - Street 2:SUITE G
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2078
Practice Address - Country:US
Practice Address - Phone:630-588-0600
Practice Address - Fax:630-588-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.008069225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty