NPIMap

Organization Active NPI

Momentum Movement Clinic LLC

  • Rehabilitation Clinic/Center
  • Waukesha, WI
National Provider Identifier
1124662465
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MOMENTUM MOVEMENT CLINIC LLC
Practice address
400 W Moreland Blvd Ste a
Waukesha, WI 53188-2425
Phone
(262) 373-8765
NPI assigned
Oct 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Lisa McNeil, LMT, CFSSNPI 1417591751
Title
Owner
Phone
(262) 373-8765

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

400 W Moreland Blvd Ste a
Waukesha, WI 53188-2425

Mailing address

400 W Moreland Blvd Ste a
Waukesha, WI 53188-2425
Phone (262) 373-8765

National Provider Directory

National Provider Directory

Locations

400 W Moreland Blvd
Ste A
Waukesha, WI 53188
Phone (262) 373-8765

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": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1124662465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MORELAND BLVD STE A",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882425",
            "telephone_number": "262-373-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MORELAND BLVD STE A",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882425",
            "telephone_number": "262-373-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM MOVEMENT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-373-8765",
        "authorized_official_credential": "LMT, CFSS"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.