Provider Demographics
NPI:1538568951
Name:AUTISM IN MOTION INC
Entity type:Organization
Organization Name:AUTISM IN MOTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-300-7107
Mailing Address - Street 1:236 SW 32ND TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-5024
Mailing Address - Country:US
Mailing Address - Phone:239-300-7107
Mailing Address - Fax:
Practice Address - Street 1:236 SW 32ND TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-5024
Practice Address - Country:US
Practice Address - Phone:239-300-7107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13181225X00000X
FLSA12405235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty