Organization Active NPI

A Moving Experience Inc

  • Physical Therapist
  • Maryville, TN
National Provider Identifier
1447362041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5944 Issued in TN
Legal business name
A MOVING EXPERIENCE INC
Practice address
2140 Colonial Cir
Maryville, TN 37803-2676
Phone
(865) 384-5593
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laura Horvath GagnonNPI 1164474706
Title
President
Phone
(865) 384-5593

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
Physical Therapist 225100000X 5944 TN Primary

Addresses

Primary practice location

2140 Colonial Cir
Maryville, TN 37803-2676

Mailing address

2140 Colonial Cir
Maryville, TN 37803-2676
Phone (865) 384-5593

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070502000400 TN Part B Supplier - Clinic/Group Practice 6608972963 Receives reassigned benefits from 1 practitioner
Practice locations: Maryville, TN

National Provider Directory

National Provider Directory

Locations

3028 Old Niles Ferry Rd
Maryville, TN 37803
Phone (865) 233-5096

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447362041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 COLONIAL CIR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032676",
            "telephone_number": "865-384-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 COLONIAL CIR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032676",
            "telephone_number": "865-384-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MOVING EXPERIENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "HORVATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-384-5593",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.