Perham Physical Therapy Llc

LBN: Back In Motion Physical Therapy Llc
Perham Physical Therapy Llc is an health care organization with primary practice located at 505 E Main St , Perham MN 56573-1808. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Back In Motion Physical Therapy Llc can be contacted via phone (218) 346-2464, or through Kaufenberg, Matthew Stuart via phone (218) 346-2464.

Contact Information

Primary practice address
505 E Main St Perham MN 56573-1808
Phone: (218) 346-2464
Fax: (218) 346-2446
Website:
Map and Directions
Authorized official contact:
Name: Kaufenberg, Matthew Stuart MS, PT
Phone: (218) 346-2464

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1881094621
LBN Legal business name Back In Motion Physical Therapy Llc
DBA Doing business as Perham Physical Therapy Llc
Authorized official Kaufenberg, Matthew Stuart MS, PT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2014
Last updated Nov 14th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881094621 NPPES
Minnesota MEDICAID 1366533861

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