Organization Active NPI

Uplifted Movement and Performance Therapy LLC

  • Physical Therapist
  • Georgetown, TX
National Provider Identifier
1275305633
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UPLIFTED MOVEMENT AND PERFORMANCE THERAPY LLC
Practice address
3010 Williams Dr Ste 171
Georgetown, TX 78628-2785
Phone
(512) 774-4947
NPI assigned
Oct 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Cody McGrath, PT, DPT, FAAOMPTNPI 1568997948
Title
Owner
Phone
(512) 966-6110

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

3010 Williams Dr Ste 171
Georgetown, TX 78628-2785

Mailing address

3010 Williams Dr Ste 171
Georgetown, TX 78628-2785
Phone (512) 774-4947

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1275305633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WILLIAMS DR STE 171",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282785",
            "telephone_number": "512-774-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WILLIAMS DR STE 171",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282785",
            "telephone_number": "512-774-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTED MOVEMENT AND PERFORMANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-966-6110",
        "authorized_official_credential": "PT, DPT, FAAOMPT"
    },
    "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 Georgetown, TX

Sources for this page

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