Provider Demographics
NPI:1699145490
Name:INMOTION REHAB, LLC
Entity type:Organization
Organization Name:INMOTION REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-940-5906
Mailing Address - Street 1:PO BOX 75
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39130-0075
Mailing Address - Country:US
Mailing Address - Phone:662-714-3122
Mailing Address - Fax:662-714-3124
Practice Address - Street 1:5140 GALAXIE DR STE 106
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39206-4354
Practice Address - Country:US
Practice Address - Phone:601-940-5906
Practice Address - Fax:888-316-6369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03957749Medicaid