Organization Active NPI

Movevolution, Inc

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1821428418
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0227091 Issued in NY
Legal business name
MOVEVOLUTION, INC
Practice address
87 Fort Greene PL
2ND Floor
Brooklyn, NY 11217-1203
Phone
(718) 522-2658
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Mr. Richard Symister, MSPT
Title
Owner
Phone
(718) 916-0526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0227091 NY Primary

Addresses

Primary practice location

87 Fort Greene PL
2ND Floor
Brooklyn, NY 11217-1203

Mailing address

87 Fort Greene PL
2ND Floor
Brooklyn, NY 11217-1203
Phone (718) 522-2658

Other names 1

  • MovEvolution Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

603 Bergen St
Brooklyn, NY 11238
Phone (347) 687-2709

87 Fort Greene Pl
Ste 2
Brooklyn, NY 11217
Phone (718) 522-2658

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": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1821428418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FORT GREENE PL",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171203",
            "telephone_number": "718-522-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FORT GREENE PL",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171203",
            "telephone_number": "718-522-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEVOLUTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "SYMISTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-916-0526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0227091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MovEvolution Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.