Movement Metamorphosis, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOVEMENT METAMORPHOSIS, LLC

Doing business as

Movement Metamorphosis

Practice address

2024 Caton Way SW Ste 103
Olympia, WA 98502-8201

Phone

(360) 545-3094

NPI assigned

Dec 28, 2023

Organization subpart

No

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

Authorized official

Name

Andrea GalloNPI 1710257043

Title

Owner

Phone

(360) 545-3094

Specialties & licenses 1

Addresses

Other names 1

• Movement Metamorphosis Doing business as

Practitioners 1

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

• Andrea Gallo

  • Physical Therapist
  • Olympia, WA
  • NPI 1710257043
  NPD Authorized official

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1225807431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 BELLERIVE WAY SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985018606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 CATON WAY SW STE 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028201",
            "telephone_number": "360-545-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT METAMORPHOSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-545-3094"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Movement Metamorphosis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Elizabeth Moulton
• Rachael I Moulton, LMT
• Rupinder Moundhi, MD
• Mount Rainier Urology, Inc, PS
• Taylor Rae Mount
• Catherine M Moyer
• Madeline Moyer
• MSC McPhee LLC
• Ashley Marie Mucino
• Sarah Muehe

• Physical Therapy Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.