Organization Active NPI

In Motion Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Corte Madera, CA
National Provider Identifier
1689730301
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
010827 Issued in CA
Legal business name
IN MOTION PHYSICAL THERAPY INC
Practice address
210 Redwood Ave
Corte Madera, CA 94925-1572
Phone
(415) 924-7757
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Mr. Brian Beaudoin, PT,OCS
Title
Ceo
Phone
(415) 279-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 010827 CA Primary

Addresses

Primary practice location

210 Redwood Ave
Corte Madera, CA 94925-1572

Mailing address

210 Redwood Ave
Corte Madera, CA 94925-1572
Phone (415) 924-7757

National Provider Directory

National Provider Directory

Locations

210 Redwood Ave
Corte Madera, CA 94925
Phone (415) 924-7757

208 Redwood Ave
Corte Madera, CA 94925
Phone (415) 924-7757

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1689730301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 REDWOOD AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251572",
            "telephone_number": "415-924-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 REDWOOD AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251572",
            "telephone_number": "415-924-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN MOTION PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "BEAUDOIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-279-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT,OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "010827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.