Movement 4 Life Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOVEMENT 4 LIFE PHYSICAL THERAPY, LLC

Practice address

14585 Manchester Rd
Manchester, MO 63011-3963

Phone

(314) 941-3970

Fax

(314) 931-1352

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. David W Candy, PT, DPTNPI 1457587206

Title

Owner / Doctor of Physical Therapy

Phone

(314) 941-3970

Specialties & licenses 2

Addresses

Other names 1

• More 4 Life Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

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

• David W Candy, PT, DPT, OCS, ATC

  • Physical Therapist
  • Manchester, MO
  • NPI 1457587206

  MO, Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656806400000",
    "number": "1780169029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14585 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113963",
            "telephone_number": "314-941-3970",
            "fax_number": "314-931-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14585 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113963",
            "telephone_number": "314-941-3970",
            "fax_number": "314-931-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2214 Meramec Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262710",
            "country_code": "US",
            "telephone_number": "314-941-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Nationalway Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "MO",
            "postal_code": "630115352",
            "country_code": "US",
            "telephone_number": "314-941-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVEMENT 4 LIFE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A",
        "authorized_official_last_name": "CANDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER / DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "314-941-3970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "More 4 Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midwest Practice Solutions STL LLC
• Midwest Sleep Diagnostics, Inc.
• Sarah R Modde, MSW, LCSW
• Wyatt Steven Mohrmann, DC
• Andrew A Morrill
• National Vision Inc
• Joan L Nester, L.P.C.
• Sarah Norman, MSW, LMSW
• Nour Medical Spa
• A Rand Olson, D.C., P.C.

• All providers in Manchester, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; 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.