Movement Specialist & Manual Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOVEMENT SPECIALIST & MANUAL THERAPY SERVICES, LLC

Practice address

5059 W 111TH St
Alsip, IL 60803-6074

Phone

(708) 369-9811

Fax

(708) 294-2516

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Barbara Maria Papciak, DPT

Title

Owner/Physical Therapist

Phone

(708) 369-9811

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1659848919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20011 WHIE PINE CT",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60448",
            "telephone_number": "708-369-9811",
            "fax_number": "708-294-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 W 111TH ST",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608036074",
            "telephone_number": "708-369-9811",
            "fax_number": "708-294-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT SPECIALIST & MANUAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "PAPCIAK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "708-369-9811",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1447425574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.