Healthcare Provider Details

I. General information

NPI: 1598345985
Provider Name (Legal Business Name): IN MOTION PT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2021
Last Update Date: 04/10/2021
Certification Date: 04/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9133 DICKENS AVE
SURFSIDE FL
33154-3140
US

IV. Provider business mailing address

9133 DICKENS AVE
SURFSIDE FL
33154-3140
US

V. Phone/Fax

Practice location:
  • Phone: 305-801-6203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL WEISS
Title or Position: PRESIDENT
Credential:
Phone: 305-801-6203