Healthcare Provider Details

I. General information

NPI: 1144147422
Provider Name (Legal Business Name): PELVIC HEALTH IN MOTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10246 WILLOWBRIDGE WAY
HIGHLANDS RANCH CO
80126-7875
US

IV. Provider business mailing address

10246 WILLOWBRIDGE WAY
HIGHLANDS RANCH CO
80126-7875
US

V. Phone/Fax

Practice location:
  • Phone: 847-312-4067
  • Fax:
Mailing address:
  • Phone: 847-312-4067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LEYA NOLAN
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 847-312-4067