MEDICARE: HEALING MOTION, PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	PT013014L	PA

General Provider Information

NPI Number	:	1487896163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING MOTION, PC

Provider Business Mailing Address
First Line	:	5840 ELLSWORTH AVE STE 302
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	412-363-4050
Fax Number	:	412-363-4052

Provider Business Practice Location Address
First Line	:	5840 ELLSWORTH AVE STE 302
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	412-363-4050
Fax Number	:	412-363-4052

Authorized Official
Title or Position	:	PRESIDENT
Name	:	J. CHRISTOPHER POTTS
Credential	:	PT, DPT
Telephone Number	:	412-363-4050

Provider Enumeration Date	:	03/27/2009
Last Update Date	:	03/27/2009

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