Provider Demographics
NPI:1285223594
Name:BODY IN MOTION PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:BODY IN MOTION PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT, CERT MDT
Authorized Official - Phone:919-307-5646
Mailing Address - Street 1:2312 BECKETTS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-6643
Mailing Address - Country:US
Mailing Address - Phone:919-307-5646
Mailing Address - Fax:
Practice Address - Street 1:2312 BECKETTS RIDGE DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-6643
Practice Address - Country:US
Practice Address - Phone:919-307-5646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty