Organization Active NPI

Movewell Physical Therapy

  • Orthopedic Physical Therapist
  • Charlotte, NC
National Provider Identifier
1811667306
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
MOVEWELL PHYSICAL THERAPY
Practice address
3120 Latrobe Dr Ste 210
Charlotte, NC 28211-2175
Phone
(704) 363-8757
NPI assigned
Sep 15, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Mark Badenhop, PT, DPT, OCS, CSCS
Title
President
Phone
(567) 277-0726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

3120 Latrobe Dr Ste 210
Charlotte, NC 28211-2175

Mailing address

3540 Conway Ave
Charlotte, NC 28209-2302
Phone (567) 277-0726

National Provider Directory

National Provider Directory

Locations

3120 Latrobe Dr
Ste 210
Charlotte, NC 28211
Phone (507) 828-0551

Practitioners & affiliated clinicians

Practitioners 1

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": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1811667306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 CONWAY AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092302",
            "telephone_number": "567-277-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 LATROBE DR STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112175",
            "telephone_number": "704-363-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEWELL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "BADENHOP",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "567-277-0726",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • 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.