Movement Solutions Mobile Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOVEMENT SOLUTIONS MOBILE PHYSICAL THERAPY PC

Practice address

25 Hill Dr
Kentfield, CA 94904-1078

Phone

(907) 301-1856

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

John Weston Egbert, DPTNPI 1841632981

Title

Ceo

Phone

(907) 301-1856

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Weston Egbert, DPT

  • Physical Therapist
  • Kentfield, CA
  • NPI 1841632981

  Single Specialty

  Medicare reassignment NPD Authorized official
• Kathryn Ann Gottlieb, MS

  • Occupational Therapist
  • Mountlake Terrace, WA
  • NPI 1841519543

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1457168908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 MATZEN RANCH CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949548595",
            "telephone_number": "907-301-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HILL DR",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041078",
            "telephone_number": "907-301-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT SOLUTIONS MOBILE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "EGBERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-301-1856",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Metzger, PT, DPT
• Mindful Physical Therapy
• Misco Medical Group Inc
• Sara A Morley, DPT
• Danya Hayward Moss, PSY.D.
• Caroline Mulder, MD
• Danila Musante, PHD
• Donald Nadler, PH.D.
• Anahita Najafi
• Edwyne D Nazarian, MD

• Physical Therapist in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.