Organization Active NPI

Meaningful Movement LLC

  • Physical Therapy Clinic/Center
  • Charlotte, NC
National Provider Identifier
1316563208
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MEANINGFUL MOVEMENT LLC
Practice address
7401 Carmel Executive Park Dr Ste 305
Charlotte, NC 28226-4219
Phone
(980) 785-3773
Fax
(980) 236-9399
NPI assigned
Jun 17, 2020
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Crystal Myers, DPTNPI 1144541566
Title
Owner
Phone
(757) 409-1955

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7401 Carmel Executive Park Dr Ste 305
Charlotte, NC 28226-4219

Mailing address

6314 Autumn Moss CT
Charlotte, NC 28277-3514
Phone (757) 409-1955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211012000461 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719385442 Receives reassigned benefits from 5 practitioners
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

7401 Carmel Executive Park Dr
Ste 305
Charlotte, NC 28226
Phone (980) 785-3773

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1316563208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 AUTUMN MOSS CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773514",
            "telephone_number": "757-409-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 CARMEL EXECUTIVE PARK DR STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264219",
            "telephone_number": "980-785-3773",
            "fax_number": "980-236-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEANINGFUL MOVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-409-1955",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.