NPIMap

Organization Active NPI

Movement Physical and Occupational Therapy LLC

  • Occupational Therapist
  • Riverview, MI
National Provider Identifier
1245844703
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MOVEMENT PHYSICAL AND OCCUPATIONAL THERAPY LLC
Practice address
14700 King Rd Ste B
Riverview, MI 48193-7909
Phone
(586) 531-5825
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Justin Streefkerk, DPTNPI 1194082073
Title
Provider/Partner
Phone
(586) 531-5825

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

14700 King Rd Ste B
Riverview, MI 48193-7909

Mailing address

14700 King Rd Ste B
Riverview, MI 48193-7909
Phone (586) 531-5825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210115000675 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325451164 Receives reassigned benefits from 8 practitioners
Practice locations: Newport, MI; Riverview, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1245844703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 KING RD STE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937909",
            "telephone_number": "586-531-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 KING RD STE B",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937909",
            "telephone_number": "586-531-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT PHYSICAL AND OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "STREEFKERK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PROVIDER/PARTNER",
        "authorized_official_telephone_number": "586-531-5825",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

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