NPIMap

Organization Active NPI

Practitioners in Motion PLLC

  • Primary Care Clinic/Center
  • West Melbourne, FL
National Provider Identifier
1447637582
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRACTITIONERS IN MOTION PLLC
Practice address
2263 W New Haven Ave
#350
West Melbourne, FL 32904-3805
Phone
(321) 216-2288
Fax
(321) 216-2255
NPI assigned
Apr 28, 2015
Last updated
Jul 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Cristi Ziolkowski, ARNP
Title
Owner
Phone
(321) 720-5905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

2263 W New Haven Ave
#350
West Melbourne, FL 32904-3805

Mailing address

960 Whisperoak Dr
Melbourne, FL 32901-8135
Phone (321) 720-5905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150917001776 FL Part B Supplier - Clinic/Group Practice 9335456755 Receives reassigned benefits from 19 practitioners
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

1900 S Harbor City Blvd
Ste 225
Melbourne, FL 32901
Phone (321) 216-2288

2263 W New Haven Ave
#350
West Melbourne, FL 32904
Phone (321) 216-2288

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1447637582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WHISPEROAK DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018135",
            "telephone_number": "321-720-5905",
            "fax_number": "321-216-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 W NEW HAVEN AVE",
            "address_2": "#350",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043805",
            "telephone_number": "321-216-2288",
            "fax_number": "321-216-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTITIONERS IN MOTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "ZIOLKOWSKI",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-720-5905",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.