MOTION MEDIC PHYSICAL THERAPY LLC – Physical Therapist, NPI 1255111324

MOTION MEDIC PHYSICAL THERAPY LLC is a healthcare provider. based in Klamath falls, Oregon. specializing in Physical Therapist. The NPI Number for MOTION MEDIC PHYSICAL THERAPY LLC is 1255111324

Main info

Organization
Name
MOTION MEDIC PHYSICAL THERAPY LLC
NPI
1255111324
Phone
(541) 887-2090
Address
6420 S 6TH ST
Authorized Official
DR. VINCENT PAULO FORMALEJO PANGANIBAN MANAGING MEMBER/OWNER PT, DPT
Enumeration Date
4 October 2023
Last Update Date
26 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for MOTION MEDIC PHYSICAL THERAPY LLC

  • 6420 S 6TH ST

    KLAMATH FALLS, OR 976037111

    Phone: (541) 887-2090

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20240325002105OPhysical/Occupational Therapy Group In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97603)

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Reviews

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Frequently asked questions

Is there an official ID for MOTION MEDIC PHYSICAL THERAPY LLC in U.S. healthcare records?
The official identifier for MOTION MEDIC PHYSICAL THERAPY LLC is NPI 1255111324.
Is MOTION MEDIC PHYSICAL THERAPY LLC shown as active in public data?
Registry records indicate MOTION MEDIC PHYSICAL THERAPY LLC maintains an active NPI.
What expertise is attributed to MOTION MEDIC PHYSICAL THERAPY LLC?
MOTION MEDIC PHYSICAL THERAPY LLC's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MOTION MEDIC PHYSICAL THERAPY LLC?
Travel planning: use Klamath Falls, Oregon as the reference point for MOTION MEDIC PHYSICAL THERAPY LLC, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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