Organization Active NPI

Movement & Performance Physical Therapy

  • Sports Physical Therapist
  • Austin, TX
National Provider Identifier
1033732714
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
MOVEMENT & PERFORMANCE PHYSICAL THERAPY
Doing business as
Your PT Do
Practice address
15201 Burnet Rd BLDG D
Austin, TX 78728-3505
Phone
(512) 525-2733
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Dr. Gabriel Dunham, PT, DPTNPI 1841781309
Title
Owner
Phone
(512) 525-2733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

15201 Burnet Rd BLDG D
Austin, TX 78728-3505

Mailing address

106 Everglades CV
Hutto, TX 78634-5119
Phone (512) 525-2733

Other names 1

  • Your PT Do Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Movement Performance Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1909 Hydro Dr
Austin, TX 78728

15201 Burnet Rd
Bldg D
Austin, TX 78728
Phone (512) 525-2733

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1033732714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EVERGLADES CV",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345119",
            "telephone_number": "512-525-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 BURNET RD BLDG D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787283505",
            "telephone_number": "512-525-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT & PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-525-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your PT Do",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your PT Do",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.