Organization Active NPI

Move Sport Spine

  • Physical Therapist
  • Natchitoches, LA
National Provider Identifier
1184394371
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOVE SPORT SPINE
Practice address
4133 University Pkwy
Natchitoches, LA 71457-6409
Phone
(318) 238-6683
Fax
(833) 733-6683
NPI assigned
Sep 17, 2021
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
David W MooneyNPI 1447379664
Title
Office
Phone
(318) 238-6683

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
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4133 University Pkwy
Natchitoches, LA 71457-6409

Mailing address

4133 University Pkwy
Natchitoches, LA 71457-6409
Phone (318) 238-6683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106002457 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567853211 Receives reassigned benefits from 1 practitioner
Practice locations: Natchitoches, LA

National Provider Directory

National Provider Directory

Locations

4133 University Pkwy
Natchitoches, LA 71457
Phone (318) 238-6683

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": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1184394371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 UNIVERSITY PKWY",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576409",
            "telephone_number": "318-238-6683",
            "fax_number": "833-733-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 UNIVERSITY PKWY",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576409",
            "telephone_number": "318-238-6683",
            "fax_number": "833-733-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE SPORT SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "318-238-6683"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.