MEDICARE: BODY IN MOTION MOBILE PHYSICAL THERAPY & WELLNESS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2251G0304X	Geriatric Physical Therapist
2	2251N0400X	Neurology Physical Therapist
3	2251X0800X	Orthopedic Physical Therapist
4	251E00000X	Home Health Agency
5	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1578277075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODY IN MOTION MOBILE PHYSICAL THERAPY & WELLNESS INC

Provider Business Mailing Address
First Line	:	25182 FAIRGREEN
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92692-2882
Country	:	US
Telephone Number	:	949-228-2946
Fax Number	:

Provider Business Practice Location Address
First Line	:	25182 FAIRGREEN
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92692-2882
Country	:	US
Telephone Number	:	949-228-2946
Fax Number	:

Authorized Official
Title or Position	:	PT, DPT
Name	:	DEEMA MAJAJ
Credential	:	PT, DPT
Telephone Number	:	949-228-2946

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	04/12/2023

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