1346562964 NPI number — TOTAL MOTION PHYSICAL THERAPY LLC

Table of content: (NPI 1346562964)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346562964 NPI number — TOTAL MOTION PHYSICAL THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOTAL MOTION PHYSICAL THERAPY LLC
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:
1346562964
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1632
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHRISTIANSBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24068-1632
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-585-4841
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
227 CENTRAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHRISTIANSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24073-6093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-585-4841
Provider Business Practice Location Address Fax Number:
540-585-4842
Provider Enumeration Date:
02/23/2010

Additional Information

Authorized Official

Authorized Official Last Name:
MASRI
Authorized Official First Name:
RONY
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER/PHYSICAL THERAPIST
Authorized Official Telephone Number:
540-585-4841

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  230500684 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 228475 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 650019646 . This is a "MEDICARE RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 233136189 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".




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