NPIMap

Organization Active NPI

Motion for Life Physical Therapy and Integrative Movement Inc

  • Physical Therapist
  • Lisle, IL
National Provider Identifier
1215474457
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070003812 Issued in IN
Legal business name
MOTION FOR LIFE PHYSICAL THERAPY AND INTEGRATIVE MOVEMENT INC
Practice address
4513 Lincoln Ave
105A
Lisle, IL 60532-1289
Phone
(630) 240-1725
Fax
(773) 337-9106
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Yvonne Mlynarczyk, PT
Title
Owner
Phone
(630) 240-1725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070003812 IN Primary

Addresses

Primary practice location

4513 Lincoln Ave
105A
Lisle, IL 60532-1289

Mailing address

4513 Lincoln Ave
105A
Lisle, IL 60532-1289
Phone (630) 240-1725

National Provider Directory

National Provider Directory

Locations

4513 Lincoln Ave
Ste 105A
Lisle, IL 60532
Phone (331) 223-9800

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1215474457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE",
            "address_2": "105A",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321289",
            "telephone_number": "630-240-1725",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 LINCOLN AVE",
            "address_2": "105A",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321289",
            "telephone_number": "630-240-1725",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION FOR LIFE PHYSICAL THERAPY AND INTEGRATIVE MOVEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "MLYNARCZYK",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-240-1725",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "070003812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.