Organization Active NPI

MVMT Physical Therapy and Performance Inc

  • Physical Therapist
  • Vista, CA
National Provider Identifier
1194400176
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MVMT PHYSICAL THERAPY AND PERFORMANCE INC
Practice address
1330 Specialty Dr Ste E
Vista, CA 92081-8567
Phone
(949) 490-0685
Fax
(949) 593-0204
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Katherine Serrano, PT, DPTNPI 1780302406
Title
Physical Therapist
Phone
(562) 253-7597

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1330 Specialty Dr Ste E
Vista, CA 92081-8567

Mailing address

3972 Barranca Pkwy Ste J324
Irvine, CA 92606-1204

National Provider Directory

National Provider Directory

Locations

3972 Barranca Pkwy
Ste J324
Irvine, CA 92606

1330 Specialty Dr
Ste E
Vista, CA 92081
Phone (949) 490-0685

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": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1194400176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 BARRANCA PKWY STE J324",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SPECIALTY DR STE E",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818567",
            "telephone_number": "949-490-0685",
            "fax_number": "949-593-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVMT PHYSICAL THERAPY AND PERFORMANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "562-253-7597",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.