NPIMap

Organization Active NPI

Motion Centric Fitness and Rehab Specialists, LLC

  • Physical Therapy Clinic/Center
  • Florence, TX
National Provider Identifier
1871022335
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1239100 Issued in TX
Legal business name
MOTION CENTRIC FITNESS AND REHAB SPECIALISTS, LLC
Practice address
7780 Old 195
Florence, TX 76527-4543
Phone
(512) 817-8691
NPI assigned
Jun 8, 2017
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
David Thomas Didlake, PT, DPT, CSCSNPI 1679873376
Title
Owner
Phone
(512) 817-8691

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1239100 TX Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

7780 Old 195
Florence, TX 76527-4543

Mailing address

7780 Old 195
Florence, TX 76527-4543
Phone (512) 817-8691

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Florence

National Provider Directory

National Provider Directory

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": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1871022335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 OLD 195",
            "city": "FLORENCE",
            "state": "TX",
            "postal_code": "765274543",
            "telephone_number": "512-817-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 OLD 195",
            "city": "FLORENCE",
            "state": "TX",
            "postal_code": "765274543",
            "telephone_number": "512-817-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION CENTRIC FITNESS AND REHAB SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-09-06",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "DIDLAKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-817-8691",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1239100",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Florence",
            "affiliation": "N",
            "address_1": "7780 Old 195",
            "city": "Florence",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765274543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.