Modern Movement Physical Therapy, PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

MODERN MOVEMENT PHYSICAL THERAPY, PLLC

Practice address

18017 Gawthrop Dr
Bradenton, FL 34211

Phone

(917) 416-2209

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Eugene Barshay, PT

Title

Physical Therapist

Phone

(917) 416-2209

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1639695398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8429 LORRAINE RD # 127",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029010",
            "telephone_number": "917-416-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18017 GAWTHROP DR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34211",
            "telephone_number": "917-416-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MOVEMENT PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2021-04-08",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "BARSHAY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "917-416-2209",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031866",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "031866",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Mitchell, MASSAGE THERAPIST
• Penni Mitchell, LCSW
• Samuel Justin Mitchell, CHIROPRACTOR
• Tammy Mitchell, BA SLP-A
• Lakia Foster Mobley
• Heidi Moen, BS
• Erin Elizabeth Moffett, DO, MPH
• Ali Galal Ali Mohammed
• Michelle A Mohner, L.C.S.W.
• Molecular Imaging of Bradenton LLC

• Orthopedic Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.