Organization Active NPI

In-Motion PT Inc

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1336379981
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27486 Issued in CA
Legal business name
IN-MOTION PT INC
Practice address
985 Broadway
Suite E
Chula Vista, CA 91911-1744
Phone
(619) 585-0977
Fax
(619) 585-1013
NPI assigned
Jul 16, 2009
Last updated
Jun 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Mr. Todd A LeslieNPI 1467654707
Title
Owner
Phone
(619) 585-0977

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
Physical Therapist 225100000X PT 27486 CA Primary

Addresses

Primary practice location

985 Broadway
Suite E
Chula Vista, CA 91911-1744

Mailing address

985 Broadway
Suite E
Chula Vista, CA 91911-1744
Phone (619) 585-0977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100928001383 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385760255 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

985 Broadway
Ste E
Chula Vista, CA 91911
Phone (619) 422-3473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1336379981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 BROADWAY",
            "address_2": "SUITE E",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111744",
            "telephone_number": "619-585-0977",
            "fax_number": "619-585-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 BROADWAY",
            "address_2": "SUITE E",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111744",
            "telephone_number": "619-585-0977",
            "fax_number": "619-585-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-MOTION PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-585-0977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.