Active NPI
I.Move. Health and Performance
- Sports Physician Chiropractor
- Happy Valley, OR
National Provider Identifier
1407551658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- I.MOVE. HEALTH AND PERFORMANCE
- Practice address
- 10729 SE 82ND Ave
Happy Valley, OR 97086-7601 - Phone
- (971) 236-4348
- NPI assigned
- Apr 4, 2023
- Last updated
- Apr 4, 2023
- 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
- Daniel Charlat
- Title
- Owner
- Phone
- (971) 236-4348
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | NU | Primary |
Addresses
Primary practice location
10729 SE 82ND Ave
Happy Valley, OR 97086-7601
Mailing address
10729 SE 82ND Ave
Happy Valley, OR 97086-7601
Phone (971) 236-4348
National Provider Directory
National Provider DirectoryPractitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1407551658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10729 SE 82ND AVE",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867601",
"telephone_number": "971-236-4348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10729 SE 82ND AVE",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970867601",
"telephone_number": "971-236-4348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I.MOVE. HEALTH AND PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-04",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A",
"authorized_official_last_name": "CHARLAT",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-236-4348"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.