Provider Demographics
NPI:1053893867
Name:ORTHOTICS IN MOTION LLC
Entity type:Organization
Organization Name:ORTHOTICS IN MOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:CPED BOCO
Authorized Official - Phone:603-932-2144
Mailing Address - Street 1:136 HARVEY RD
Mailing Address - Street 2:SUITE A105
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053
Mailing Address - Country:US
Mailing Address - Phone:603-932-2144
Mailing Address - Fax:603-935-7947
Practice Address - Street 1:136 HARVEY RD
Practice Address - Street 2:SUITE A105
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053
Practice Address - Country:US
Practice Address - Phone:603-932-2144
Practice Address - Fax:603-935-7947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthistGroup - Multi-Specialty
Yes335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Multi-Specialty