Provider Demographics
NPI:1578446662
Name:GRACE IN MOTION LLC
Entity type:Organization
Organization Name:GRACE IN MOTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BETHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, C/NDT
Authorized Official - Phone:478-508-1018
Mailing Address - Street 1:109 LIMESTONE TRL
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3810
Mailing Address - Country:US
Mailing Address - Phone:478-508-1018
Mailing Address - Fax:478-370-2432
Practice Address - Street 1:1101 DUNBAR RD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3805
Practice Address - Country:US
Practice Address - Phone:478-508-1018
Practice Address - Fax:478-370-2432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
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