Provider Demographics
NPI:1760241558
Name:STRENGTHS IN MOTION LLC
Entity type:Organization
Organization Name:STRENGTHS IN MOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-470-4438
Mailing Address - Street 1:2900 EAGLE BLUFF CIR STE 110
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55340-5002
Mailing Address - Country:US
Mailing Address - Phone:262-470-4438
Mailing Address - Fax:612-238-8679
Practice Address - Street 1:2900 EAGLE BLUFF CIR STE 110
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:MN
Practice Address - Zip Code:55340-5002
Practice Address - Country:US
Practice Address - Phone:262-470-4438
Practice Address - Fax:612-238-8679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN8302635Medicaid