Motus RX Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11251-24 Issued in WI

Legal business name

MOTUS RX PHYSICAL THERAPY, LLC

Doing business as

Eric Wallace

Practice address

W5361 County Road KK Ste E
Appleton, WI 54915-7271

Phone

(920) 540-2344

Fax

(920) 779-1460

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eric T Wallace, DPTNPI 1417183476

Title

Owner/Physical Therapist

Phone

(920) 540-2344

Specialties & licenses 5

Addresses

Other names 1

• Eric Wallace Doing business as

Locations

Practitioners 1

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

• Eric T Wallace, DPT

  • Physical Therapist
  • Appleton, WI
  • NPI 1417183476
  NPD Authorized official

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326576794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5361 COUNTY ROAD KK STE E",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157271",
            "telephone_number": "920-540-2344",
            "fax_number": "920-779-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5361 COUNTY ROAD KK STE E",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549157271",
            "telephone_number": "920-540-2344",
            "fax_number": "920-779-1460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2763 S Oneida St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543045122",
            "country_code": "US",
            "telephone_number": "920-540-2344",
            "fax_number": "920-779-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOTUS RX PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "920-540-2344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WI",
            "license": "11251-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11251-24",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "WI",
            "license": "11251-24",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "11251-24",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric Wallace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Ruth Mose, MA
• Melissa Marie Moser, PTA
• Sarah Jean Motacek, LCSW
• Tracy Motiff-Muesbeck, PT
• Motion Synergy Physical Therapy LLC
• Reena Motwani, MD
• Nhia Moua, APSW
• Moving Parts Therapy LLC
• Tracie Moya, RDH
• Carley Jo Mueller

• Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.