Organization Active NPI

On the Move Physical Therapy and Wellness, LLC

  • Physical Therapy Clinic/Center
  • Kennett Square, PA
National Provider Identifier
1619308889
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT021679 Issued in PA
Legal business name
ON THE MOVE PHYSICAL THERAPY AND WELLNESS, LLC
Practice address
1793 Newark Rd
Kennett Square, PA 19348-1106
Phone
(484) 883-1911
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Carrie Leese, DPT
Title
Co-Owner, Physical Therapist
Phone
(484) 883-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT021679 PA Primary

Addresses

Primary practice location

1793 Newark Rd
Kennett Square, PA 19348-1106

Mailing address

1793 Newark Road
Kennett Square, PA 19348

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1619308889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 NEWARK ROAD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "19348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1793 NEWARK RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481106",
            "telephone_number": "484-883-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE MOVE PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "LEESE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CO-OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "484-883-1911",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT021679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.