NPIMap

Organization Active NPI

In Motion Advisory, LLC

Doing business as Peak Performance In Motion

  • Physical Therapy Clinic/Center
  • College Station, TX
National Provider Identifier
1659493906
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
651320001 Issued in TX
Legal business name
IN MOTION ADVISORY, LLC
Doing business as
Peak Performance In Motion
Practice address
12845 FM 2154 Rd
Suite 100
College Station, TX 77845-4046
Phone
(979) 696-4800
Fax
(979) 695-6947
NPI assigned
Apr 6, 2007
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mrs. Kelli Deann Thornton, PTNPI 1861438152
Title
Physical Therapist Co-Owner
Phone
(979) 696-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 651320001 TX Primary

Addresses

Primary practice location

12845 FM 2154 Rd
Suite 100
College Station, TX 77845-4046

Mailing address

12845 FM 2154 Rd
Suite 100
College Station, TX 77845-4046
Phone (979) 696-4800

Other identifiers 1

IdentifierTypeStateIssuer
DE5710OtherTXRAILROAD MEDICARE

Other names 1

  • Peak Performance In Motion Doing business as

National Provider Directory

National Provider Directory

Locations

12845 FM 2154 Rd
Ste 100
College Station, TX 77845
Phone (979) 696-4800

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1659493906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12845 FM 2154 RD",
            "address_2": "SUITE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454046",
            "telephone_number": "979-696-4800",
            "fax_number": "979-695-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12845 FM 2154 RD",
            "address_2": "SUITE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454046",
            "telephone_number": "979-696-4800",
            "fax_number": "979-695-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN MOTION ADVISORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST  CO-OWNER",
        "authorized_official_telephone_number": "979-696-4800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "651320001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Performance In Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.