Organization Active NPI

Movement Medicine Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1467227546
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOVEMENT MEDICINE PHYSICAL THERAPY, LLC
Practice address
1825 Macarthur Blvd NW
Atlanta, GA 30318-2023
Phone
(770) 298-5893
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Eric Nichols, PT, DPTNPI 1346795051
Title
Owner
Phone
(770) 298-5893

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1825 Macarthur Blvd NW
Atlanta, GA 30318-2023

Mailing address

1825 Macarthur Blvd NW
Atlanta, GA 30318-2023
Phone (770) 298-5893

Other practice location 1

1825 MacArthur Blvd NW
Atlanta, GA 30318-2023
Phone (770) 298-5893

National Provider Directory

National Provider Directory

Locations

1825 MacArthur Blvd NW
Atlanta, GA 30318
Phone (770) 268-5893

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1467227546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MACARTHUR BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182023",
            "telephone_number": "770-298-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MACARTHUR BLVD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182023",
            "telephone_number": "770-298-5893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 MacArthur Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182023",
            "country_code": "US",
            "telephone_number": "770-298-5893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVEMENT MEDICINE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-298-5893",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.