NPIMap

Organization Active NPI

The Movement Science Center

  • Physical Therapist
  • Metairie, LA
National Provider Identifier
1477554442
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THE MOVEMENT SCIENCE CENTER
Practice address
321 Veterans Memorial Blvd Ste 100
Metairie, LA 70005-3060
Phone
(504) 834-9259
Fax
(504) 834-9281
NPI assigned
Aug 2, 2005
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Daniel Bourgeois
Title
Manager
Phone
(504) 834-9259

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 05029 LA

Addresses

Primary practice location

321 Veterans Memorial Blvd Ste 100
Metairie, LA 70005-3060

Mailing address

321 Veterans Memorial Blvd Ste 100
Metairie, LA 70005-3060
Phone (504) 834-9259

Other practice location 1

1201 Ochsner Blvd Ste A
Covington, LA 70433-8147
Phone (985) 801-7145

Other practice location 2

100 Bon Temps Roule Ste A
Mandeville, LA 70471-2555
Phone (985) 792-0225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412001415 LA Part B Supplier - Clinic/Group Practice 4587658687 Receives reassigned benefits from 15 practitioners
Practice locations: Covington, LA; Hammond, LA; Mandeville, LA; Metairie, LA

National Provider Directory

National Provider Directory
Tax ID family
The Movement Science Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

811 C M Fagan Dr
Ste C
Hammond, LA 70403
Phone (985) 348-3606

100 Bon Temps Roule
Ste A
Mandeville, LA 70471
Phone (985) 792-0225

111 Veterans Memorial Blvd
Ste 470
Metairie, LA 70005
Phone (504) 834-9259

3838 N Causeway Blvd
Ste 900
Metairie, LA 70002
Phone (504) 834-1084

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1477554442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 VETERANS MEMORIAL BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053060",
            "telephone_number": "504-834-9259",
            "fax_number": "504-834-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 VETERANS MEMORIAL BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053060",
            "telephone_number": "504-834-9259",
            "fax_number": "504-834-9281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Ochsner Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704338147",
            "country_code": "US",
            "telephone_number": "985-801-7145",
            "fax_number": "985-801-7146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bon Temps Roule Ste A",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704712555",
            "country_code": "US",
            "telephone_number": "985-792-0225",
            "fax_number": "985-792-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MOVEMENT SCIENCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-02-10",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-834-9259"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "05029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.