Dr. Garin Physiomovement, LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT024936 Issued in PA

Legal business name

DR. GARIN PHYSIOMOVEMENT, LLC

Doing business as

PhysioMovement

Practice address

1040 5TH Ave
Coraopolis, PA 15108-1986

Phone

(412) 477-3742

Fax

(844) 364-6022

NPI assigned

Nov 29, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Garin Wyberg, PT, DPT, SCSNPI 1144636200

Title

Owner

Phone

(412) 477-3742

Specialties & licenses 1

Addresses

Other names 1

• PhysioMovement Doing business as

Locations

Practitioners 1

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

• Garin Wyberg, PT, DPT, SCS

  • Physical Therapist
  • Wexford, PA
  • NPI 1144636200

  Sports

  NPD Authorized official

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1023522034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 5TH AVE",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151081986",
            "telephone_number": "412-477-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 5TH AVE",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151081986",
            "telephone_number": "412-477-3742",
            "fax_number": "844-364-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARIN PHYSIOMOVEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "WYBERG",
        "authorized_official_first_name": "GARIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-477-3742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, SCS"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "PA",
            "license": "PT024936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioMovement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan E Dicostanzo, D.M.D.
• Judy L Disanti, D.M.D.
• Suzanne Elizabeth Dobrowolski, L.P.N.
• Stacy L Donatelli-Beining, OTR/L
• Elizabeth Thomeier Dornetto, LPC
• Matthew Drakeley, M.D.
• Kathleen Drapala, PT
• Dub See Inc.
• Torre Marie Eaborn
• Edward E James DO Associates Inc.

• Sports Physical Therapist in Coraopolis, PA
• Providers in Coraopolis, PA by specialty
• Sports Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.