Provider Demographics
NPI:1649141318
Name:NUMOTION INTEGRATIVE PHYSICAL THERAPY
Entity type:Organization
Organization Name:NUMOTION INTEGRATIVE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT
Authorized Official - Phone:805-231-7467
Mailing Address - Street 1:3011 ROLLINGS AVE
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6431
Mailing Address - Country:US
Mailing Address - Phone:805-231-7467
Mailing Address - Fax:
Practice Address - Street 1:3011 ROLLINGS AVE
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-6431
Practice Address - Country:US
Practice Address - Phone:805-231-7467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty