Provider Demographics
NPI:1669265898
Name:GATEWAY MOTION PHYSICAL THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:GATEWAY MOTION PHYSICAL THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAIN PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA CIRILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:718-408-0241
Mailing Address - Street 1:7231 EAGLEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-5984
Mailing Address - Country:US
Mailing Address - Phone:718-408-0241
Mailing Address - Fax:
Practice Address - Street 1:7231 EAGLEFIELD DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-5984
Practice Address - Country:US
Practice Address - Phone:718-408-0241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty