Healthcare Provider Details

I. General information

NPI: 1952490971
Provider Name (Legal Business Name): PHYSICAL THERAPY IN MOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 27TH ST W SUITE B
BILLINGS MT
59102-8601
US

IV. Provider business mailing address

50 27TH ST W SUITE B
BILLINGS MT
59102-8601
US

V. Phone/Fax

Practice location:
  • Phone: 406-651-9099
  • Fax: 406-651-4332
Mailing address:
  • Phone: 406-651-9099
  • Fax: 406-651-4332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMT
# 4
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateMT

VIII. Authorized Official

Name: MR. JOSEPH ARTHUR SMITH
Title or Position: OWNER - PHYSICAL THERAPIST
Credential: PT
Phone: 406-651-9099