The Movement Collective LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

THE MOVEMENT COLLECTIVE LLC

Practice address

5530-1 Florida Mining Blvd S
Jacksonville, FL 32257

Phone

(252) 945-7456

NPI assigned

Jan 30, 2024

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hannah Heidenreich, D.C.NPI 1679268924

Title

Co-Owner/ Doctor of Chiropractic

Phone

(239) 595-1453

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Hannah L Heidenreich, DC

  • Chiropractor
  • Naples, FL
  • NPI 1679268924
  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1215799614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530-1 FLORIDA MINING BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530-1 FLORIDA MINING BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "252-945-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOVEMENT COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "HEIDENREICH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CO-OWNER/ DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "239-595-1453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679268924",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336845791",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Sports Physician Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.