Organization Active NPI

Movement & Mobility Lab

  • Physical Therapy Clinic/Center
  • Greenville, NC
National Provider Identifier
1104719194
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOVEMENT & MOBILITY LAB
Practice address
1025 W H Smith Blvd Ste 106
Greenville, NC 27834-5278
Phone
(252) 215-2215
NPI assigned
May 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Dr. Elizabeth Brennan, PT, DPT
Title
Owner/Physical Therapist
Phone
(919) 916-0181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1025 W H Smith Blvd Ste 106
Greenville, NC 27834-5278

Mailing address

910 Console LN
Kill Devil Hills, NC 27948-9478
Phone (919) 916-0181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1104719194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CONSOLE LN",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489478",
            "telephone_number": "919-916-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W H SMITH BLVD STE 106",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345278",
            "telephone_number": "252-215-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT & MOBILITY LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "919-916-0181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.