1912232877 NPI number — NEW MOTION PHYSICAL THERAPY, INC.

Table of content: (NPI 1912232877)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912232877 NPI number — NEW MOTION PHYSICAL THERAPY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW MOTION PHYSICAL THERAPY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912232877
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
684 ALAMO PINTADO RD
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
SOLVANG
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93463-2265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-693-4311
Provider Business Mailing Address Fax Number:
805-693-4423

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 HOLIDAY CT STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37067-1302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-245-8730
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2009

Additional Information

Authorized Official

Authorized Official Last Name:
SWOLGAARD
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
VERNON
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
805-245-8730

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  PT29923 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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