Movement Is Medicine Physical Therapy and Sports Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOVEMENT IS MEDICINE PHYSICAL THERAPY AND SPORTS PERFORMANCE

Practice address

4210 Colley Ave Ste a
Norfolk, VA 23508-2508

Phone

(757) 620-5464

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Marie Bennett, DPTNPI 1902475015

Title

Physical Therapist

Phone

(757) 620-5464

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amanda Marie Bennett

  • Physical Therapist
  • Norfolk, VA
  • NPI 1902475015
  NPD Authorized official

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1013527381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 COLLEY AVE STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082508",
            "telephone_number": "757-620-5464",
            "fax_number": "757-799-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLLEY AVE STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082508",
            "telephone_number": "757-620-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Research Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205994",
            "country_code": "US",
            "telephone_number": "757-620-5464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 Connecticut Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235082706",
            "country_code": "US",
            "telephone_number": "757-620-5464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVEMENT IS MEDICINE PHYSICAL THERAPY AND SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "757-620-5464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mothers Helper Home Care LLC.
• Jerry Lynn Mothershead, M.D.
• Alicia Marcella Moulder, RBT
• Melissa Lynn Moule, RDN
• Adam Moustapha
• Abigail Katherine Mowers, LCSW
• Kelsey Lynn Mowery, MD
• Charles Marshall Mozena, ATC, LAT
• Jean-Marie Kakubudia Mpoy Kanyinda, MD
• Kimberleigh Marie Mubarak, LPC

• Physical Therapy Clinic/Center in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.