Organization Active NPI

Moving With Health Oriented Physical Education, Inc.

Doing business as MovingWithHOPE

  • Physical Medicine & Rehabilitation Physician
  • Shelton, CT
National Provider Identifier
1700367968
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
002364 Issued in CT
Legal business name
MOVING WITH HEALTH ORIENTED PHYSICAL EDUCATION, INC.
Doing business as
MovingWithHOPE
Practice address
30 Controls Dr
Shelton, CT 06484-6157
Phone
(203) 513-8424
Fax
(203) 712-7320
NPI assigned
Aug 27, 2018
Last updated
Oct 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Authorized official

Name
Thatcher Duni, MA
Title
Executive Director
Phone
(203) 513-8424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 002364 CT Primary

Addresses

Primary practice location

30 Controls Dr
Shelton, CT 06484-6157

Mailing address

30 Controls Dr
Shelton, CT 06484-6157
Phone (203) 513-8424

Other names 1

  • MovingWithHOPE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190117001340 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375889066 Receives reassigned benefits from 3 practitioners
Practice locations: Shelton, CT

National Provider Directory

National Provider Directory

Locations

18 Center St
Ste 104
Shelton, CT 06484
Phone (203) 513-0424

30 Controls Dr
Shelton, CT 06484
Phone (203) 513-8424

30 Controls Dr
Ste 104
Shelton, CT 06484
Phone (203) 513-8424

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1700367968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CONTROLS DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846157",
            "telephone_number": "203-513-8424",
            "fax_number": "203-712-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CONTROLS DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846157",
            "telephone_number": "203-513-8424",
            "fax_number": "203-712-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING WITH HEALTH ORIENTED PHYSICAL EDUCATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "DUNI",
        "authorized_official_first_name": "THATCHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-513-8424",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "002364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MovingWithHOPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.