Mvmnt:Gym

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MVMNT:GYM

Practice address

103 S 3Rd Ave
Sandpoint, ID 83864-1314

Phone

(208) 263-9999

NPI assigned

Sep 3, 2016

Organization subpart

No

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

Authorized official

Name

Ryan Egan

Title

Ceo

Phone

(208) 263-9999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472860800000",
    "number": "1548717895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S 3RD AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641314",
            "telephone_number": "208-263-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVMNT:GYM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-03",
        "last_updated": "2016-09-03",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-263-9999"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marc L Natoni, DDS
• Megan Neels, LPC, M.ED.

• Physical Therapist in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2016; 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.