Organization Active NPI

Power of Movement Physical Therapy, P.C.

  • Specialist
  • Purchase, NY
National Provider Identifier
1114469376
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
025723 Issued in NY
Legal business name
POWER OF MOVEMENT PHYSICAL THERAPY, P.C.
Practice address
2900 Westchester Avenue
Suite 108
Purchase, NY 10577-2551
Phone
(914) 364-0504
Fax
(914) 828-0100
NPI assigned
Nov 4, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Melissa Broderick, DPTNPI 1710131461
Title
Owner
Phone
(914) 364-0504

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
Specialist 174400000X 025723 NY Primary

Addresses

Primary practice location

2900 Westchester Avenue
Suite 108
Purchase, NY 10577-2551

Mailing address

11 Stone Hollow Dr
Brewster, NY 10509-2678
Phone (914) 364-0504

National Provider Directory

National Provider Directory

Locations

2900 Westchester Ave
Ste 108
Purchase, NY 10577
Phone (914) 223-9222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1114469376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STONE HOLLOW DR",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092678",
            "telephone_number": "914-364-0504",
            "fax_number": "914-828-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WESTCHESTER AVENUE",
            "address_2": "SUITE 108",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772551",
            "telephone_number": "914-364-0504",
            "fax_number": "914-828-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER OF MOVEMENT PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-364-0504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "025723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.