Provider Demographics
NPI:1487109674
Name:MOTION PHYSICAL THERAPY AND REHAB INC
Entity type:Organization
Organization Name:MOTION PHYSICAL THERAPY AND REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIJPAL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:PATARIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:209-888-6346
Mailing Address - Street 1:4339 E MORADA LN STE 150
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95212-1634
Mailing Address - Country:US
Mailing Address - Phone:209-888-6346
Mailing Address - Fax:
Practice Address - Street 1:4339 E MORADA LN STE 150
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95212-1634
Practice Address - Country:US
Practice Address - Phone:209-888-6346
Practice Address - Fax:209-478-4939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT364052251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty