Movement Physical Therapy and Wellness PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016139 Issued in IL

Legal business name

MOVEMENT PHYSICAL THERAPY AND WELLNESS PC

Practice address

355 E Grand Ave
Chicago, IL 60611-5389

Phone

(312) 587-3432

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Samit P Shah, DPTNPI 1467610121

Title

Owner

Phone

(312) 587-3432

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samit Shah, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1467610121
  Medicare reassignment Care Compare group NPD Authorized official
• Erica Helms, MPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1578606695
  Medicare reassignment Care Compare group NPD
• Colin E Penn, DPT

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1932656824
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1184922684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115389",
            "telephone_number": "312-587-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115389",
            "telephone_number": "312-587-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT PHYSICAL THERAPY AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMIT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-587-3432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "070016139",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mouthabilities, Inc
• Matthew Moutvic, DPT
• Gloria J Mouzon, M.D.
• Move Therapy and Wellness 1241 LLC
• Move Well Physical Therapy
• Movement Synergy Physical Therapy, LLC
• Moving on Up Supportive Housing NFP
• Moving on Up Supportive Housing NFP
• Roman Movsisyan, MD
• Arun Kiran Movva

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.