Organization Active NPI

Momentum Physical Therapy Center, LLC

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1548691652
Registry record updated Jan 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21553 Issued in FL
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

Updated by the provider on Jan 25, 2014

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

Authorized official

Name
Wendy Yunker, PTNPI 1770617540
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20140107000795 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0941438410 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.