Organization Active NPI

MVMT Performance LLC

  • Physical Therapy Clinic/Center
  • Southampton, NJ
National Provider Identifier
1225637861
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MVMT PERFORMANCE LLC
Practice address
133 Eayrestown Rd
Southampton, NJ 08088-9122
Phone
(856) 266-4910
NPI assigned
Oct 24, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Christian Todd Filer, DPT, ATCNPI 1790024107
Title
Owner
Phone
(609) 845-3585

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

133 Eayrestown Rd
Southampton, NJ 08088-9122

Mailing address

163 Tabernacle Rd
Medford Lakes, NJ 08055-2024
Phone (856) 266-4910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201221001764 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658783469 Receives reassigned benefits from 1 practitioner
Practice locations: Medford Lakes, NJ

National Provider Directory

National Provider Directory

Locations

133 Eayrestown Rd
Southampton, NJ 08088
Phone (609) 233-9305

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": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1225637861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TABERNACLE RD",
            "city": "MEDFORD LAKES",
            "state": "NJ",
            "postal_code": "080552024",
            "telephone_number": "856-266-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EAYRESTOWN RD",
            "city": "SOUTHAMPTON",
            "state": "NJ",
            "postal_code": "080889122",
            "telephone_number": "856-266-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVMT PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "FILER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-845-3585",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.