Organization Active NPI

MVMT Sport & Wellness, PLLC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1447638242
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8453 Issued in AZ
Legal business name
MVMT SPORT & WELLNESS, PLLC
Practice address
18777 N 32ND St Ste 80
Phoenix, AZ 85050-3202
Phone
(480) 788-3365
NPI assigned
May 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Dr. Justine N Lomboy, D.C.
Title
Chiropractor/Owner
Phone
(480) 788-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8453 AZ Primary

Addresses

Primary practice location

18777 N 32ND St Ste 80
Phoenix, AZ 85050-3202

Mailing address

18777 N 32ND St Ste 80
Phoenix, AZ 85050-3202
Phone (480) 788-3365

National Provider Directory

National Provider Directory

Locations

18777 N 32nd St
Ste 80
Phoenix, AZ 85050
Phone (480) 788-3365

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1447638242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18777 N 32ND ST STE 80",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503202",
            "telephone_number": "480-788-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18777 N 32ND ST STE 80",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503202",
            "telephone_number": "480-788-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVMT SPORT & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "LOMBOY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "480-788-3365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.