Organization Active NPI

Made 4 Movement PLLC

  • Chiropractor
  • Lake Havasu City, AZ
National Provider Identifier
1346937026
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MADE 4 MOVEMENT PLLC
Practice address
1979 McCulloch Blvd N Ste 101
Lake Havasu City, AZ 86403-0963
Phone
(928) 466-6390
NPI assigned
Apr 21, 2023
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Dr. Madison Marquez, DCNPI 1588365480
Title
Owner/Chiropractor
Phone
(928) 466-6390

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1979 McCulloch Blvd N Ste 101
Lake Havasu City, AZ 86403-0963

Mailing address

1979 McCulloch Blvd N Ste 101
Lake Havasu City, AZ 86403-0963
Phone (928) 466-6390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519001088 AZ Part B Supplier - Clinic/Group Practice 2567828494 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Havasu City, AZ

National Provider Directory

National Provider Directory

Locations

1750 McCulloch Blvd N
Unit 2432
Lake Havasu City, AZ 86405

1990 McCulloch Blvd N
Ste C106
Lk Havasu Cty, AZ 86403
Phone (928) 466-6390

2240 McCulloch Blvd N
Ste C
Lk Havasu Cty, AZ 86403
Phone (928) 453-2225

Practitioners & affiliated clinicians

Practitioners 2

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": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1346937026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 MCCULLOCH BLVD N STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864030963",
            "telephone_number": "928-466-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MCCULLOCH BLVD N STE 101",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864030963",
            "telephone_number": "928-466-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE 4 MOVEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "928-466-6390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.