MVMT Performance & Rehabilitation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MVMT PERFORMANCE & REHABILITATION

Practice address

2866 Gentle Hills Dr
De Pere, WI 54115-8157

Phone

(414) 418-5599

NPI assigned

Jun 6, 2019

Last updated

Jun 6, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trevor Folker, MS, LAT, ATC

Title

Member

Phone

(414) 418-5599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1699334441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2866 GENTLE HILLS DR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2866 GENTLE HILLS DR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541158157",
            "telephone_number": "414-418-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVMT PERFORMANCE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "FOLKER",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "414-418-5599",
        "authorized_official_credential": "MS, LAT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nachia Moua
• Skylar Mounce, M.A.
• Jared Mueller
• Lori Ann Muench, MS CCC-SLP
• Teresa A Mulzer, APNP
• Ewa Maria Narkiewicz-Jodko, PTA
• Krista Rae Nelson, RN
• Matthew L. Nelson, O.D.
• Natalie Nelson, M.A.
• Calyssa Nemetz, BCBA

• Health Service Clinic/Center in De Pere, WI
• Providers in De Pere, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.