Organization Active NPI

Rehab in Motion, LLC

  • Physical Therapist
  • Madison, MS
National Provider Identifier
1780908475
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHAB IN MOTION, LLC
Practice address
110 Lake Ridge Dr
Madison, MS 39110-8291
Phone
(601) 898-8111
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Daron Walters
Title
Manager
Phone
(601) 573-9712

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

110 Lake Ridge Dr
Madison, MS 39110-8291

Mailing address

110 Lake Ridge Dr
Madison, MS 39110-8291
Phone (601) 898-8111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1780908475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKE RIDGE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108291",
            "telephone_number": "601-898-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAKE RIDGE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108291",
            "telephone_number": "601-898-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB IN MOTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "DARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-573-9712"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.