Provider Demographics
NPI:1982364188
Name:MOTIVE PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:MOTIVE PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOOPIE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:702-860-0174
Mailing Address - Street 1:2982 GRAMSCI AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1699
Mailing Address - Country:US
Mailing Address - Phone:702-860-0174
Mailing Address - Fax:
Practice Address - Street 1:2982 GRAMSCI AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-1699
Practice Address - Country:US
Practice Address - Phone:702-860-0174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty