Move2Perform LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOVE2PERFORM LLC

Practice address

175 Welles St Rear
Forty Fort, PA 18704-4933

Phone

(570) 310-1086

NPI assigned

Oct 3, 2023

Last updated

Oct 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ian James Stout, DPT, ATCNPI 1811465941

Title

Doctor of Physical Therapy

Phone

(570) 259-7087

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, and the practitioner matching its NPPES authorized official.

• Ian James Stout, DPT, ATC

  • Physical Therapist
  • Scranton, PA
  • NPI 1811465941
  NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1528848009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 ENGLEWOOD TER",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044321",
            "telephone_number": "570-259-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WELLES ST REAR",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187044933",
            "telephone_number": "570-310-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE2PERFORM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "570-259-7087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle McGurk, BCBA
• George Mercurio
• Penny Mericle, D.M.D, M.S.D.
• Melissa Mikovitch, CRNP
• Julie Miller, MS., CCC-SLP
• Maria E. Murphy, RD, LDN
• Charles Joseph Musto, DMD
• Nepa Dental Group, Inc (NEPA Dental - West)
• Nepa Homecare Inc (Visiting Angels)
• Northeastern Surgical Specialty Group Inc

• Physical Therapy Clinic/Center in Forty Fort, PA
• Providers in Forty Fort, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

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