Physiomove LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSIOMOVE LLC

Practice address

10050 Roosevelt Blvd Unit 11
Philadelphia, PA 19116-3965

Phone

(215) 945-0100

NPI assigned

Oct 2, 2018

Organization subpart

Yes

Parent organization

PHYSIOMOVE LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay M PatelNPI 1124392931

Title

Owner

Phone

(610) 836-2764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physiomove LLC

  • Physical Therapy Clinic/Center
  • Levittown, PA
  • NPI 1386068161

  O20140225000892

  Same enrollment

Part of

Physiomove LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Physiomove LLC

  • Physical Therapy Clinic/Center
  • Levittown, PA
  • NPI 1386068161
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay M Patel, PT

  • Physical Therapist
  • Levittown, PA
  • NPI 1124392931
  NPD Authorized official
• Nisuki Patel, MSOT

  • Occupational Therapist
  • Levittown, PA
  • NPI 1245643790
  NPD
• Grishma Raval, PT

  • Physical Therapist
  • Levittown, PA
  • NPI 1164293239
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1003391376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 WOODBOURNE RD STE 203B",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 ROOSEVELT BLVD UNIT 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163965",
            "telephone_number": "215-945-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOMOVE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSIOMOVE LLC",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-836-2764"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.