Organization Active NPI

Move Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Monroe, MI
National Provider Identifier
1467975615
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOVE PHYSICAL THERAPY PLLC
Practice address
428 S Monroe St Ste 106
Monroe, MI 48161-2249
Phone
(734) 636-0286
NPI assigned
Jul 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Katherine Bacarella, DPTNPI 1164871760
Title
Physical Therapist
Phone
(734) 636-0286

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

428 S Monroe St Ste 106
Monroe, MI 48161-2249

Mailing address

428 S Monroe St Ste 106
Monroe, MI 48161-2249
Phone (734) 636-0286

Other names 1

  • The Movement Ministry Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211214001598 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133519788 Receives reassigned benefits from 6 practitioners
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

428 S Monroe St
Ste 106
Monroe, MI 48161
Phone (734) 636-0286

Practitioners & affiliated clinicians

Practitioners 6

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": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1467975615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S MONROE ST STE 106",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612249",
            "telephone_number": "734-636-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S MONROE ST STE 106",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481612249",
            "telephone_number": "734-636-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "BACARELLA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "734-636-0286",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Movement Ministry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.