Full Motion Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11833 Issued in NC

Legal business name

FULL MOTION PHYSICAL THERAPY, LLC

Practice address

5113 Piper Station Dr
Suite 202
Charlotte, NC 28277-6689

Phone

(980) 224-8191

Fax

(980) 224-8194

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Staci L Miller, P.T.

Title

Physical Therapist/Clinic Director

Phone

(980) 224-8191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1821396557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776689",
            "telephone_number": "980-224-8191",
            "fax_number": "980-224-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5113 PIPER STATION DR",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776689",
            "telephone_number": "980-224-8191",
            "fax_number": "980-224-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL MOTION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "980-224-8191",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "11833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Full Home Health Care Inc
• Full Square Ventures Inc
• Richetrina Fullard, CCS
• Therese Fulle, RPH
• Arscynthia Fuller, CPSS
• Brittany L Fuller, NCC, LCMHCA

• Physical Therapy Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.