Organization Active NPI

Recovery in Motion Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Charlotte, NC
National Provider Identifier
1063259190
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
RECOVERY IN MOTION PHYSICAL THERAPY, LLC
Practice address
6420 Rea Rd Ste A2
Charlotte, NC 28277-0771
Phone
(704) 559-9157
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tashan Duff, PTNPI 1942754791
Title
Owner
Phone
(704) 559-9157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

6420 Rea Rd Ste A2
Charlotte, NC 28277-0771

Mailing address

1515 Mockingbird LN Ste 400
Charlotte, NC 28209-3298
Phone (704) 559-9157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809003784 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779021613 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

6420 Rea Rd
Ste A2
Charlotte, NC 28277
Phone (704) 559-9157

1515 Mockingbird Ln
Ste 400
Charlotte, NC 28209
Phone (704) 559-9157

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1063259190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093298",
            "telephone_number": "704-559-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 REA RD STE A2",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282770771",
            "telephone_number": "704-559-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY IN MOTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "TASHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-559-9157",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.