Organization Active NPI

Motusium Inc

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1477336089
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOTUSIUM INC
Practice address
1712 Paseo Corto Dr
Cedar Park, TX 78613-1547
Phone
(512) 634-3634
Fax
(512) 634-3634
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Wonik Chang
Title
Ceo
Phone
(312) 623-9488

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1712 Paseo Corto Dr
Cedar Park, TX 78613-1547

Mailing address

1712 Paseo Corto Dr
Cedar Park, TX 78613-1547
Phone (512) 634-3634

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1477336089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PASEO CORTO DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131547",
            "telephone_number": "512-634-3634",
            "fax_number": "512-634-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 PASEO CORTO DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131547",
            "telephone_number": "512-634-3634",
            "fax_number": "512-634-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTUSIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "WONIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-623-9488"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.