Movement Shift Physical Therapy and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT42406 Issued in CA

Legal business name

MOVEMENT SHIFT PHYSICAL THERAPY AND PERFORMANCE

Practice address

122 Coralie Way
Folsom, CA 95630-3303

Phone

(360) 303-4679

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Lovelace, DPT

Title

Physical Therapist

Phone

(360) 303-4679

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Movement Shift Physical Therapy and Performance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Movement Shift Physical Therapy and Performance

  • Physical Therapy Clinic/Center
  • Granite Bay, CA
  • NPI 1376050708
  NPD tax ID

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1154836419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CORALIE WAY",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303303",
            "telephone_number": "360-303-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CORALIE WAY",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303303",
            "telephone_number": "360-303-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT SHIFT PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "360-303-4679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT42406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ID",
            "identifier": "1457744294",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitsumaro Motoyoshi, PT
• Fleuree Moua
• Holly Mounts, PT
• Mahnaz Moussavi, DDS
• Royan Moussavi
• Ashley Moylan, PT
• Julie True Mozingo, LMT,LNMT
• Diana April Muckler, APNP, PMHNP-BC
• Vijay Mudunuri, MD
• Jordan Lee Mulder, PH.D.

• Physical Therapy Clinic/Center in Folsom, CA
• Providers in Folsom, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.