Provider Demographics
NPI:1669265898
Name:GATEWAY MOTION PHYSICAL THERAPY AND WELLNESS
Entity type:Organization
Organization Name:GATEWAY MOTION PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAIN PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA CIRILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:718-408-0241
Mailing Address - Street 1:26477 72ND AVE NW STE 108
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-6219
Mailing Address - Country:US
Mailing Address - Phone:360-776-9583
Mailing Address - Fax:360-363-2639
Practice Address - Street 1:26477 72ND AVE NW STE 108
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6219
Practice Address - Country:US
Practice Address - Phone:360-776-9583
Practice Address - Fax:360-363-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty