NPIMap

Organization Active NPI

Movement Headquarters Physical Therapy

  • Physical Therapist
  • Northport, NY
National Provider Identifier
1629603022
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOVEMENT HEADQUARTERS PHYSICAL THERAPY
Practice address
81 Fort Salonga Rd Ste C
Northport, NY 11768-2889
Phone
(631) 380-3820
NPI assigned
Mar 5, 2020
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Dr. Patrick Clark Gathman, PT, DPT, CSCSNPI 1093358046
Title
Owner
Phone
(631) 681-7470

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

81 Fort Salonga Rd Ste C
Northport, NY 11768-2889

Mailing address

8 Acre View Dr
Northport, NY 11768-3502
Phone (631) 681-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421001978 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133537681 Receives reassigned benefits from 4 practitioners
Practice locations: Northport, NY

National Provider Directory

National Provider Directory

Locations

67 Brightside Ave
East Northport, NY 11731
Phone (631) 681-7470

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1629603022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ACRE VIEW DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683502",
            "telephone_number": "631-681-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 FORT SALONGA RD STE C",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682889",
            "telephone_number": "631-380-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT HEADQUARTERS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "GATHMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-681-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.