MEDICARE: ORTHOMOTION TECHNOLOGY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1326503764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOMOTION TECHNOLOGY INC

Provider Business Mailing Address
First Line	:	1100 HATCHER LN
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3530
Country	:	US
Telephone Number	:	800-733-7212
Fax Number	:	931-540-8209

Provider Business Practice Location Address
First Line	:	1548 BOND ST
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-6508
Country	:	US
Telephone Number	:	815-432-6155
Fax Number	:	815-432-6299

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID BAXTER
Credential	:
Telephone Number	:	800-722-7313

Provider Enumeration Date	:	02/08/2019
Last Update Date	:	06/03/2026

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Directions to “ORTHOMOTION TECHNOLOGY INC ” Practice Location

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