Max Moves Pediatric Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAX MOVES PEDIATRIC PHYSICAL THERAPY, LLC

Doing business as

Max Moves Pediatric Physical Therapy

Practice address

1185 E 26TH PL
Yuma, AZ 85365-2927

Phone

(845) 754-1148

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Danielle Winkeleer, DPT

Title

Owner, PT

Phone

(845) 754-1148

Specialties & licenses 3

Addresses

Other names 1

• Max Moves Pediatric Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1841061025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 E 26TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652927",
            "telephone_number": "845-754-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 E 26TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652927",
            "telephone_number": "845-754-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX MOVES PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "WINKELEER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "845-754-1148",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Max Moves Pediatric Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Silva Massart, SLPA
• Debra Mastronardi
• Neethu Alphonsa Mathew
• Jane Marie Matias, FNP
• Joshua D Matic, HN
• Victoria Anne McAllister
• Annalisa McBride, AGNP-C
• Carolyn F McCluskey
• Krista Marie McCoy, PHARMD
• Kenya R McCray, LISAC

• Physical Therapist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.