Moxie Pelvic Health and Wellness, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOXIE PELVIC HEALTH AND WELLNESS, PLLC

Practice address

35 Executive Plaza CT
Maryville, IL 62062-5838

Phone

(618) 226-8277

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Amber D Da Gama Rose, DPTNPI 1972756922

Title

Physical Therapist/Owner

Phone

(217) 320-3707

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amber D Da Gama Rose, PT

  • Physical Therapist
  • Maryville, IL
  • NPI 1972756922
  NPD Authorized official

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1497539779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BINNEY STATION RD",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620884425",
            "telephone_number": "217-320-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EXECUTIVE PLAZA CT",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625838",
            "telephone_number": "618-226-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXIE PELVIC HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "DA GAMA ROSE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "217-320-3707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Moorman, FNP-BC
• Amy D Morby, L.C.S.W.
• Cynthia Moreno, MS CCC-SLP
• Jennifer L. Moss, OT
• Haresh K Motwani, MD.
• Msa Alliance, LLC
• Msa Alliance, LLC
• Msa Alliance, LLC Dba-Southern Illinois Vascular and Vein Surgery
• Laura Beth Mulcahy, CNM
• Natale S. Muniz, OT

• Physical Therapy Clinic/Center in Maryville, IL
• Providers in Maryville, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.