NPIMap

Organization Active NPI

Movement Specialists Physical Therapy, LLC

  • Early Intervention Provider Agency
  • Edwards, IL
National Provider Identifier
1740735646
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
070016907 Issued in IL
Legal business name
MOVEMENT SPECIALISTS PHYSICAL THERAPY, LLC
Practice address
6823 N Iron Wood Dr
Edwards, IL 61528-9420
Phone
(309) 645-2062
NPI assigned
Aug 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2016

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

Authorized official

Name
Dr. Priscilla Weaver, PT, PHD, DPT, PCS
Title
PT/Owner
Phone
(309) 645-2062

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 070016907 IL Primary
Early Intervention Provider Agency 252Y00000X 160007581 IL

Addresses

Primary practice location

6823 N Iron Wood Dr
Edwards, IL 61528-9420

Mailing address

6823 N Iron Wood Dr
Edwards, IL 61528-9420
Phone (309) 645-2062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1740735646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 N IRON WOOD DR",
            "city": "EDWARDS",
            "state": "IL",
            "postal_code": "615289420",
            "telephone_number": "309-645-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 N IRON WOOD DR",
            "city": "EDWARDS",
            "state": "IL",
            "postal_code": "615289420",
            "telephone_number": "309-645-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT SPECIALISTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "309-645-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD, DPT, PCS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "070016907",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "160007581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.