Healthcare Provider Details

I. General information

NPI: 1891141776
Provider Name (Legal Business Name): THERAPY IN MOTION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 12/14/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1271 W DANFORTH RD
EDMOND OK
73003-4803
US

IV. Provider business mailing address

2475 BOARDWALK
NORMAN OK
73069-6332
US

V. Phone/Fax

Practice location:
  • Phone: 405-396-8000
  • Fax: 405-726-8181
Mailing address:
  • Phone: 405-447-1991
  • Fax: 405-447-1198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CINDY MERRICK
Title or Position: OWNER
Credential: PT
Phone: 405-359-8000