NPIMap

Organization Active NPI

Motion Medical Group, LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Largo, FL
National Provider Identifier
1083339147
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
MOTION MEDICAL GROUP, LLC
Practice address
1301 2ND Ave SW Ste 306
Largo, FL 33770-3120
Phone
(855) 920-2377
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mrs. Keiko Sargent
Title
Head of Clinical Operations
Phone
(855) 920-2377

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204C00000X Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X

Addresses

Primary practice location

1301 2ND Ave SW Ste 306
Largo, FL 33770-3120

Mailing address

2050 5TH Ave
Concord, CA 94518-1109
Phone (619) 253-3267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230922002976 FL Part B Supplier - Clinic/Group Practice 9234500158 Receives reassigned benefits from 13 practitioners
Practice locations: Tampa, FL; St Petersburg, FL; Port Richey, FL; Pompano Beach, FL; Plantation, FL; Palm Harbor, FL; Pembroke Pines, FL; Bradenton, FL…

National Provider Directory

National Provider Directory

Locations

1301 2nd Ave SW
#306
Largo, FL 33770
Phone (347) 308-5773

1301 2nd Ave SW
Ste 306
Largo, FL 33770
Phone (347) 308-5773

6703 38th Ave N
St Petersburg, FL 33710
Phone (727) 213-5377

1502 W Fletcher Ave
Ste 111
Tampa, FL 33612
Phone (855) 920-2377

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1083339147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 5TH AVE",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181109",
            "telephone_number": "619-253-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW STE 306",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703120",
            "telephone_number": "855-920-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "KEIKO",
        "authorized_official_title_or_position": "HEAD OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "855-920-2377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.