Pro Motion Physical Therapy LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

PRO MOTION PHYSICAL THERAPY LLC

Practice address

3040 N Five Mile Rd
Boise, ID 83713-5234

Phone

(208) 336-1042

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Gavin McEachern Morrison, PTNPI 1003912122

Title

Owner

Phone

(208) 336-1042

Specialties & licenses 1

Addresses

Tax ID family

Pro Motion Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pro Motion Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Boise, ID
  • NPI 1689770711
  NPD tax ID

Locations

Practitioners 1

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

• Gavin McEachern Morrison, PT

  • Physical Therapist
  • Boise, ID
  • NPI 1003912122
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184720211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 SAMARA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837033642",
            "telephone_number": "208-336-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837135234",
            "telephone_number": "208-336-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO MOTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "MCEACHERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-336-1042",
        "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": []
}

• Michelle Prince, LMSW
• Catherine A Prinzing, C.N.S.
• Daniel Prior, DO
• Alyssa Janine Pritikin, DNP, FNP-C, RN
• PRN Therapy Services, PC
• Pro Motion Physical Therapy LLC
• Nora Lynn Prodzsinki, RN BSN
• Professional Wound Specialists PLLC
• Frannie Ann Proffitt, PA-C
• James L Proffitt, MD

• Orthopedic Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Orthopedic Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.