Mobilize Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOBILIZE PHYSICAL THERAPY PLLC

Practice address

100 Shearer Ave
East Aurora, NY 14052-1621

Phone

(716) 222-9139

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Lauren Fiust-Klink

Title

Managing Member/Owner

Phone

(716) 222-9139

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1396576849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140520394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHEARER AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521621",
            "telephone_number": "716-222-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILIZE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "FIUST-KLINK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "716-222-9139"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S McCormick DMD LLC
• Tamara Jane Michaelidis, PSY.D.
• Marcia Monica Michaels, OPTICIAN
• Monica M Michaels, ND, LAC
• Karen Klipfel Miller
• Sharon Elizabeth Moore, ANP-BC
• Diane M. Morris Hourihan, MS-CCC/NYSL
• Sarah Morrison, M.S. CCC-SLP
• Kristen Murray
• Michelle M. Myka, L.M.T.

• Physical Therapist in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.