Healthcare Provider Details

I. General information

NPI: 1487896163
Provider Name (Legal Business Name): HEALING MOTION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 03/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5840 ELLSWORTH AVE STE 302
PITTSBURGH PA
15232-1727
US

IV. Provider business mailing address

5840 ELLSWORTH AVE STE 302
PITTSBURGH PA
15232-1727
US

V. Phone/Fax

Practice location:
  • Phone: 412-363-4050
  • Fax: 412-363-4052
Mailing address:
  • Phone: 412-363-4050
  • Fax: 412-363-4052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT013014L
License Number StatePA

VIII. Authorized Official

Name: J. CHRISTOPHER POTTS
Title or Position: PRESIDENT
Credential: PT, DPT
Phone: 412-363-4050