NPIMap

Organization Active NPI

Movement Chiropractic and Massage, LLC

  • Chiropractor
  • Sumner, WA
National Provider Identifier
1659919249
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOVEMENT CHIROPRACTIC AND MASSAGE, LLC
Practice address
603 Hunt Ave
Sumner, WA 98390-1117
Phone
(253) 863-0855
Fax
(253) 826-0511
NPI assigned
Dec 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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

Authorized official

Name
Dr. Jordan Scott Thaanum, D.C.NPI 1407254311
Title
Chiropractor
Phone
(253) 820-7746

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Pediatric ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NP0017X
Radiology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0200X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

603 Hunt Ave
Sumner, WA 98390-1117

Mailing address

603 Hunt Ave
Sumner, WA 98390-1117
Phone (253) 863-0855

Other names 1

  • Riverside Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200304002241 WA Part B Supplier - Clinic/Group Practice 6800223801 Receives reassigned benefits from 2 practitioners
Practice locations: Sumner, WA

National Provider Directory

National Provider Directory

Locations

603 Hunt Ave
Sumner, WA 98390
Phone (253) 863-0855

603 Hunt Ave
Ste A
Sumner, WA 98390
Phone (253) 863-0855

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576281600000",
    "number": "1659919249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HUNT AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901117",
            "telephone_number": "253-863-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HUNT AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901117",
            "telephone_number": "253-863-0855",
            "fax_number": "253-826-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT CHIROPRACTIC AND MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A",
        "authorized_official_last_name": "THAANUM",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "253-820-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumner, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; 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.