Healthcare Provider Details

I. General information

NPI: 1013920719
Provider Name (Legal Business Name): IN MOTION PHYSICAL THERAPY & REHABILITATION P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 COUNTRY CLUB DR
DOWNINGTOWN PA
19335-3058
US

IV. Provider business mailing address

20 COUNTRY CLUB DR
DOWNINGTOWN PA
19335-3058
US

V. Phone/Fax

Practice location:
  • Phone: 610-518-9100
  • Fax: 610-518-0992
Mailing address:
  • Phone: 610-518-9100
  • Fax: 610-518-0992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000007366
License Number StatePA

VIII. Authorized Official

Name: MR. BROCK R HARPER
Title or Position: PRESIDENT
Credential: MPT
Phone: 610-518-9100