Pro Motion Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 18618 Issued in FL

Legal business name

PRO MOTION REHABILITATION LLC

Practice address

15294 W Tranquility Lake Dr
Delray Beach, FL 33446-3458

Phone

(561) 865-0882

Fax

(561) 499-6045

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Mertz, PHYSICAL THERAPIST

Title

President

Phone

(561) 865-0882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1164621298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15294 W TRANQUILITY LAKE DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463458",
            "telephone_number": "561-865-0882",
            "fax_number": "561-499-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15294 W TRANQUILITY LAKE DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463458",
            "telephone_number": "561-865-0882",
            "fax_number": "561-499-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MOTION REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-865-0882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 18618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.