Active NPI
Movement Shift Physical Therapy and Performance
- Physical Therapy Clinic/Center
- Granite Bay, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT42406
- Legal business name
- MOVEMENT SHIFT PHYSICAL THERAPY AND PERFORMANCE
- Practice address
- 6049 Douglas Blvd Ste 24
Granite Bay, CA 95746-6275 - Phone
- (360) 303-4679
- NPI assigned
- Jan 8, 2018
- Last updated
- Jan 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lauren Lovelace, DPT
- Title
- Physical Therapist
- Phone
- (360) 303-4679
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT42406 | CA | Primary |
Addresses
Primary practice location
6049 Douglas Blvd Ste 24
Granite Bay, CA 95746-6275
Mailing address
122 Coralie Way
Folsom, CA 95630-3303
Phone (360) 303-4679
National Provider Directory
National Provider Directory- Tax ID family
- Movement Shift Physical Therapy and Performance
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Folsom, CA
- NPI 1154836419
Locations
6049 Douglas Blvd
Ste 24
Granite Bay, CA 95746
Phone (360) 303-4679
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Folsom, CA
- NPI 1457744294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515369600000",
"number": "1376050708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 CORALIE WAY",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303303",
"telephone_number": "360-303-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6049 DOUGLAS BLVD STE 24",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466275",
"telephone_number": "360-303-4679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVEMENT SHIFT PHYSICAL THERAPY AND PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A",
"authorized_official_last_name": "LOVELACE",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "360-303-4679",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "PT42406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.