MEDICARE: ABILITY IN MOTION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	253Z00000X	In Home Supportive Care Agency
3	385H00000X	Respite Care
4	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
5	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164873055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY IN MOTION, LLC

Provider Business Mailing Address
First Line	:	1301 RIVERSIDE AVE STE 2
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4374
Country	:	US
Telephone Number	:	970-218-1898
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 RIVERSIDE AVE STE 2
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-4374
Country	:	US
Telephone Number	:	970-218-1898
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/OWNER
Name	:	MR. RYAN DAVENPORT
Credential	:
Telephone Number	:	970-218-1898

Provider Enumeration Date	:	06/22/2016
Last Update Date	:	12/02/2021

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Directions to “ABILITY IN MOTION, LLC ” Practice Location

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