Provider Demographics
NPI:1427501535
Name:MOTUS SPECIALISTS PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:MOTUS SPECIALISTS PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:MORCOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, SCS, OCS
Authorized Official - Phone:626-825-3739
Mailing Address - Street 1:359 E PAYSON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2221
Mailing Address - Country:US
Mailing Address - Phone:626-825-3739
Mailing Address - Fax:909-667-2733
Practice Address - Street 1:359 E PAYSON ST
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2221
Practice Address - Country:US
Practice Address - Phone:626-825-3739
Practice Address - Fax:909-667-2733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA339972251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty