Organization Active NPI

Movewise Wellness and Physical Therapy PLC

  • Physical Therapist
  • Ypsilanti, MI
National Provider Identifier
1336830330
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOVEWISE WELLNESS AND PHYSICAL THERAPY PLC
Practice address
6069 Woodpecker CT
Ypsilanti, MI 48197-6221
Phone
(734) 754-1479
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Myra-Lynn HufnagelNPI 1720304199
Title
PT
Phone
(734) 754-1479

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6069 Woodpecker CT
Ypsilanti, MI 48197-6221

Mailing address

6069 Woodpecker CT
Ypsilanti, MI 48197-6221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230707002910 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961861984 Receives reassigned benefits from 1 practitioner
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

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": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1336830330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 WOODPECKER CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 WOODPECKER CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976221",
            "telephone_number": "734-754-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEWISE WELLNESS AND PHYSICAL THERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "HUFNAGEL",
        "authorized_official_first_name": "MYRA-LYNN",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "734-754-1479"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.