Organization Active NPI

Pediatric Physical Therapy on the Move, PA

  • Neurology Physical Therapist
  • Weston, FL
National Provider Identifier
1295891091
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT17075 Issued in FL
Legal business name
PEDIATRIC PHYSICAL THERAPY ON THE MOVE, PA
Practice address
55 Weston Rd
Suite #103
Weston, FL 33326-1169
Phone
(954) 383-4239
Fax
(954) 435-2810
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Tracy C. Cueli-Dutil, DPTNPI 1720144504
Title
President
Phone
(954) 383-4239

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
Neurology Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251N0400X PT17075 FL Primary
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X PT17075 FL

Addresses

Primary practice location

55 Weston Rd
Suite #103
Weston, FL 33326-1169

Mailing address

16322 SW 14TH St
Pembroke Pines, FL 33027-5121
Phone (954) 383-4239

Other identifiers 1

IdentifierTypeStateIssuer
Y8749OtherFLBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

55 Weston Rd
Ste 103
Weston, FL 33326
Phone (954) 383-4239

Practitioners & affiliated clinicians

Practitioners 1

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295891091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16322 SW 14TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330275121",
            "telephone_number": "954-383-4239",
            "fax_number": "954-435-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WESTON RD",
            "address_2": "SUITE #103",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261169",
            "telephone_number": "954-383-4239",
            "fax_number": "954-435-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICAL THERAPY ON THE MOVE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CUELI-DUTIL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-383-4239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT17075",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT17075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y8749",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.