# INTEGRATED MOTION PEDIATRIC PHYSICAL THERAPY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942377411
- **Authorized official:** MS. SARA STUTSMAN MASSARO PT (PRESIDENT)
- **Authorized official phone:** (651) 260-3774

## Contact information

- **Practice address:** 4660 SLATER RD, SUITE \#130, EAGAN, MN 55122-4047
- **Practice address phone:** (651) 260-3774
- **Practice address fax:** (651) 688-6389
- **Mailing address:** 4540 OAK CHASE LN, EAGAN, MN 55123-2804
- **Mailing address phone:** (651) 260-3774
- **Mailing address fax:** (651) 688-6389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 5428 | MN | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 08/22/2020