OrganizationActive
Back in Motion Physical Therapy, LLC
NPI 1821165960 · Physical Therapist · Gorham, ME
Provider details
- NPI number
- 1821165960
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Richard Leaver, Ceo
Practice location
94 Main St
Gorham, ME 04038-1340
Phone: (207) 839-5860
Fax: (207) 839-2499
Mailing address
625 Kenmoor Ave Se Ste 100
Grand Rapids, MI 49546-2395
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.