Live to Move LLC
Organization Active NPI Physical Therapist · Manvel, TX
NPI 1306338744 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1306338744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- LIVE TO MOVE LLC
- Practice address
- 11540 Magnolia Parkway
Suite G
Manvel, TX 77578 - Phone
- (979) 253-0360
- Fax
- (281) 213-0324
- NPI assigned
- Jun 1, 2018
- Organization subpart
- No
Authorized official
- Name
- James Matthew Poenitzsch, PT, DPT, COMT, CSCS
- Title
- Owner/Physical Therapist
- Phone
- (281) 213-0642
Practitioners 5
-
Noah Reeve Aguayo, PT, DPT
-
Cameron Charles Curtis, PT, DPT
-
James Poenitzsch, PT, DPT, COMT, CSCS
-
Vianey Gray, PT, DPT
-
Molly Poenitzsch, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181204000603 | TX | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3375887250 |
Receives reassigned benefits from 5 practitioners Practice locations: Manvel, TX |
National Provider Directory
Locations
11540 Magnolia Pkwy
Ste G
Manvel, TX 77578
Phone (281) 213-0642
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | TX | Yes |
Addresses
Primary practice location
11540 Magnolia Parkway
Suite G
Manvel, TX 77578
Mailing address
11540 Magnolia Pkwy Ste G
Manvel, TX 77578-1649
Phone (281) 213-0642
Other names
- Live to Move Physical Therapy & Wellness
Other providers in Manvel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.