Organization Active NPI

Movement Laboratory

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1154997989
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOVEMENT LABORATORY
Practice address
9238 S Sheridan Rd Ste C
Tulsa, OK 74133-5434
Phone
(918) 300-4084
NPI assigned
Jun 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Dr. John Horace Keefe IV, D.C.
Title
Owner
Phone
(918) 300-4084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

9238 S Sheridan Rd Ste C
Tulsa, OK 74133-5434

Mailing address

5129 E 30TH St
Tulsa, OK 74114-6307
Phone (918) 740-4183

Other identifiers 1

IdentifierTypeStateIssuer
4128OtherOKSTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.john@movlabtulsa.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210611000748 OK Part B Supplier - Clinic/Group Practice 0244630382 Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

9238 S Sheridan Rd
Ste C
Tulsa, OK 74133
Phone (918) 300-4084

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": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1154997989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 E 30TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741146307",
            "telephone_number": "918-740-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 S SHERIDAN RD STE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335434",
            "telephone_number": "918-300-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HORACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-300-4084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4128",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.john@movlabtulsa.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Messages",
            "address_1": "9238 S Sheridan Rd Ste C",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741335434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.