Motion PT Group Georgia LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOTION PT GROUP GEORGIA LLC

Practice address

5000 Governors Dr
Forest Park, GA 30297-6138

Phone

(000) 000-0000

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Kevin Krueger

Title

Manager

Phone

(850) 380-4657

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1912478728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 HIGHWAY 138 STE 1C",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 GOVERNORS DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976138",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION PT GROUP GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-380-4657"
    },
    "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": []
}

• Aliyah Montgomery-Hawthorne, LPC
• Daliannys Morales Mendez, M.D.
• Clarence E Morgan Jr., M.D.
• Natascha Mosley
• Denise Moten, DPT
• Mouthpeace Dental 4, LLC (MouthPeace Dental)
• Patricia Newton, RN
• Mary Nguyen
• Thu Thao Nguyen, PHARMD
• Rena Norman

• Physical Therapist in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.