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General NPI Number Information
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NPI Number | 1205626942
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Entity Type | Organization
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Legal Business Name | MOTUS PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 06/15/2025
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Provider Practice Location Address
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Address Line | 36 MAIN ST STE 103A
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City | PARK RIDGE
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State | IL
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Zip | 60068-4059
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Country | US
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Telephone | 773-632-7536
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Fax |
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Provider Business Mailing Address
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Address Line | 147 MICHAEL JOHN DR
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City | PARK RIDGE
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State | IL
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Zip | 60068-2626
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Country | US
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Telephone | 773-632-7536
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNDER
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Name | KATHARINE COSTANTINI
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Credential | PT, OCS
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Telephone | 773-632-7536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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