Neuro Movement Specialty LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NEURO MOVEMENT SPECIALTY LLC

Practice address

16 Colson LN
Mullica Hill, NJ 08062-1502

Phone

(856) 889-8103

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Kristen Lynch, PT, DPTNPI 1134813371

Title

Owner, PT

Phone

(856) 889-8103

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• Kristen Lynch, PT, DPT

  • Physical Therapist
  • Mullica Hill, NJ
  • NPI 1134813371
  Medicare reassignment NPD Authorized official
• Lauren Davis, PT, DPT

  • Physical Therapist
  • Franklinville, NJ
  • NPI 1356133359
  Medicare reassignment NPD
• Jennifer Holloway, PT

  • Physical Therapist
  • Mullica Hill, NJ
  • NPI 1134530744
  NPD (past)

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1629758172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 COLSON LN",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621502",
            "telephone_number": "856-889-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 COLSON LN",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621502",
            "telephone_number": "856-889-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO MOVEMENT SPECIALTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "856-889-8103",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Ali Nassiri, D.O.
• Nicole Neff, DPT
• Luis G Negron, APN
• Ishaan Nerurkar, MD
• Sarvesh Neupane, DO
• New Jersey CVS Pharmacy LLC (CVS Pharmacy #07961)
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 02390)
• New Town Dental
• Patricia Newton, APN
• Brendon Ngo, MD

• Physical Therapy Clinic/Center in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.