1912232877 NPI number — NEW MOTION PHYSICAL THERAPY, INC.

Table of Contents

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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