# ADVANCED MOTION PHYSICAL THERAPY. PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891566097
- **Authorized official:** KATIE DIXON DPT (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (815) 608-2592

## Contact information

- **Practice address:** 4227 MARAY DR STE 3, ROCKFORD, IL 61107-4977
- **Practice address phone:** (815) 608-2592
- **Practice address fax:** (815) 339-0329
- **Mailing address:** 6149 WINDSOR RD, LOVES PARK, IL 61111-4448
- **Mailing address phone:** (815) 608-2592
- **Mailing address fax:** (815) 339-0329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 12/17/2024