MEDICARE: NMOTION PRESCRIPTIVE EXERCISE

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	261QP2000X	Physical Therapy Clinic/Center	7973	OH

General Provider Information

NPI Number	:	1902208622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NMOTION PRESCRIPTIVE EXERCISE

Provider Business Mailing Address
First Line	:	3330 ERIE AVE STE 6
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1656
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1256 HERSCHEL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-3011
Country	:	US
Telephone Number	:	513-290-7577
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	CAROL MCSHERRY
Credential	:
Telephone Number	:	513-290-7577

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	09/24/2014

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Directions to “NMOTION PRESCRIPTIVE EXERCISE ” Practice Location

Language	Start Address	Practice Location

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