Provider Demographics
NPI:1881937787
Name:REHAB IN MOTION LLC
Entity type:Organization
Organization Name:REHAB IN MOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:SISKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-965-4122
Mailing Address - Street 1:PO BOX 1171
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-1171
Mailing Address - Country:US
Mailing Address - Phone:603-965-4122
Mailing Address - Fax:603-425-6600
Practice Address - Street 1:461 MAMMOTH RD
Practice Address - Street 2:POB 1171
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-2304
Practice Address - Country:US
Practice Address - Phone:603-965-4122
Practice Address - Fax:603-425-6600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2650261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy