Active NPI
Momentum Physical Therapy Center, LLC
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1548691652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21553
- Legal business name
- MOMENTUM PHYSICAL THERAPY CENTER, LLC
- Practice address
- 4113 N Federal Hwy
Fort Lauderdale, FL 33308-5530 - Phone
- (954) 332-0501
- NPI assigned
- Nov 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Yunker, PT
- Title
- Owner
- Phone
- (954) 332-0501
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21553 | FL | Primary |
Addresses
Primary practice location
4113 N Federal Hwy
Fort Lauderdale, FL 33308-5530
Mailing address
4113 N Federal Hwy
Fort Lauderdale, FL 33308-5530
Phone (954) 332-0501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1385683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390608000000",
"number": "1548691652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4113 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085530",
"telephone_number": "954-332-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4113 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333085530",
"telephone_number": "954-332-0501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM PHYSICAL THERAPY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-29",
"last_updated": "2014-01-25",
"status": "A",
"authorized_official_last_name": "YUNKER",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-332-0501",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2014; 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.