Provider Demographics
NPI:1588122766
Name:THERAPY IN MOTION PA
Entity type:Organization
Organization Name:THERAPY IN MOTION PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAFONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENEBY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:754-256-4705
Mailing Address - Street 1:3350 SW 148TH AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-3237
Mailing Address - Country:US
Mailing Address - Phone:754-256-4705
Mailing Address - Fax:754-816-5514
Practice Address - Street 1:3000 NE 151ST ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181
Practice Address - Country:US
Practice Address - Phone:754-256-4705
Practice Address - Fax:754-816-5514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty