The Movement Lab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THE MOVEMENT LAB LLC

Practice address

8475 S Eastern Ave Ste 105a
Las Vegas, NV 89123-2863

Phone

(725) 209-2049

Fax

(725) 209-2059

NPI assigned

May 4, 2021

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Young

Title

Practice Manager

Phone

(801) 361-2266

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1033792387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 S EASTERN AVE STE 105A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232863",
            "telephone_number": "725-209-2049",
            "fax_number": "725-209-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 S EASTERN AVE STE 105A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232863",
            "telephone_number": "725-209-2049",
            "fax_number": "725-209-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOVEMENT LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "801-361-2266"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mvmtlablv.com",
            "affiliation": "N",
            "endpointDescription": "Front Desk Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8475 S Eastern Ave Ste 105A",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891232863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.