MEDICARE: THERAPY IN MOTION LLC

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	225X00000X	Occupational Therapist	8702	MA
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist	1699	NH

General Provider Information

NPI Number	:	1750596557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY IN MOTION LLC

Provider Business Mailing Address
First Line	:	6 SARAH WAY
Second Line	:
City	:	NEWTON
State	:	NH
Zip	:	03858-3426
Country	:	US
Telephone Number	:	603-378-0140
Fax Number	:	603-974-0779

Provider Business Practice Location Address
First Line	:	6 SARAH WAY
Second Line	:
City	:	NEWTON
State	:	NH
Zip	:	03858-3426
Country	:	US
Telephone Number	:	603-378-0140
Fax Number	:	603-974-0779

Authorized Official
Title or Position	:	MANAGER - OWNER
Name	:	MS. MICHELLE A BRAGDON-PLACE
Credential	:	OTR-L
Telephone Number	:	603-378-0140

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	05/11/2010

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Directions to “THERAPY IN MOTION LLC ” Practice Location

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