Move Free Physical Therapy and Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOVE FREE PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

5501 Welkin CT
Durham, NC 27713-2023

Phone

(864) 752-7464

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Marie Russell Tomkoski, PTNPI 1164049516

Title

Owner

Phone

(919) 886-4163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Marie Russell Tomkoski, PT

  • Physical Therapist
  • Durham, NC
  • NPI 1164049516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1396335105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WELKIN CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132023",
            "telephone_number": "919-886-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WELKIN CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132023",
            "telephone_number": "864-752-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE FREE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "TOMKOSKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-886-4163",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hazem Mousa, MD
• Allison Mouse, CFO
• Mary Moya-Mendez, MD
• Ashley Moyer, RN
• Gayle Moyer, CRNA
• Cynthia A Moylan, M.D.
• Megan Renae Moyles, NP-C

• Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.