Organization Active NPI

Motify Physical Therapy and Movement Health LLC

  • Physical Therapist
  • Bloomington, IL
National Provider Identifier
1326608415
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOTIFY PHYSICAL THERAPY AND MOVEMENT HEALTH LLC
Practice address
11 Currency Dr
Bloomington, IL 61704-9398
Phone
(309) 838-4663
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Bryan Jasker, DPT
Title
Owner
Phone
(309) 838-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11 Currency Dr
Bloomington, IL 61704-9398

Mailing address

11 Currency Dr
Bloomington, IL 61704-9398
Phone (309) 838-4663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1326608415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CURRENCY DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049398",
            "telephone_number": "309-838-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CURRENCY DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049398",
            "telephone_number": "309-838-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIFY PHYSICAL THERAPY AND MOVEMENT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "JASKER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-838-4663",
        "authorized_official_credential": "DPT"
    },
    "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 Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.