Momentum Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOMENTUM PHYSICAL THERAPY LLC

Practice address

5507 Mill Race Cir
Pace, FL 32571-6441

Phone

(801) 400-3328

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Tasia Robertson, PT

Title

Owner, PT

Phone

(801) 400-3328

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1760152268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 MILL RACE CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325716441",
            "telephone_number": "801-400-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 MILL RACE CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325716441",
            "telephone_number": "801-400-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "TASIA",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "801-400-3328",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa E Miller, LMT
• Hilaree Brooke Milliron, D.P.M.
• Nicole Mitchell Frost
• Sydney Mock
• Modern Chiropractic of Florida
• Moore Behavioral, LLC
• John-Mark Miller Moore, BCBA
• Laura Rae Demeter Morette, A.R.N.P.
• Janet M Morris, OD PA
• Viviane Vomero Morris, PT, MSC., PH.D.

• Physical Therapy Clinic/Center in Pace, FL
• Providers in Pace, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.