Provider Demographics
NPI:1669887949
Name:PHYSICAL THERAPY IN MOTION, INC.
Entity type:Organization
Organization Name:PHYSICAL THERAPY IN MOTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MOUHAMED
Authorized Official - Middle Name:LAMINE
Authorized Official - Last Name:BADJI
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:318-557-7985
Mailing Address - Street 1:248 LENOX BRG
Mailing Address - Street 2:
Mailing Address - City:STERLINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:71280-3346
Mailing Address - Country:US
Mailing Address - Phone:318-557-7985
Mailing Address - Fax:
Practice Address - Street 1:4075 STERLINGTON RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2535
Practice Address - Country:US
Practice Address - Phone:318-557-7985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06782261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy