Organization Active NPI

Maximizing Movement Therapy Services Inc.

  • Physical Therapist
  • Bryn Mawr, PA
National Provider Identifier
1104084805
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015804 Issued in PA
Legal business name
MAXIMIZING MOVEMENT THERAPY SERVICES INC.
Practice address
320 S Roberts Rd
Bryn Mawr, PA 19010-1238
Phone
(610) 639-9300
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Kristy BoydNPI 1427261353
Title
President
Phone
(484) 454-5125

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT015804 PA Primary

Addresses

Primary practice location

320 S Roberts Rd
Bryn Mawr, PA 19010-1238

Mailing address

1105 Garfield Ave
Havertown, PA 19083-3436

National Provider Directory

National Provider Directory

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1104084805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 GARFIELD AVE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S ROBERTS RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101238",
            "telephone_number": "610-639-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMIZING MOVEMENT THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-454-5125",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.