The Movement Studio Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03975 Issued in OR

Legal business name

THE MOVEMENT STUDIO INC.

Practice address

309 S Pacific Hwy
Talent, OR 97540-6650

Phone

(541) 535-7019

Fax

(541) 512-8717

NPI assigned

Mar 30, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ellen Gorman, PTNPI 1073606828

Title

Physical Therapist/Owner

Phone

(541) 535-7019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Mary Gorman, PT/LMT

  • Physical Therapist
  • Ashland, OR
  • NPI 1073606828
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1841685674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975406650",
            "telephone_number": "541-535-7019",
            "fax_number": "541-512-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975406650",
            "telephone_number": "541-535-7019",
            "fax_number": "541-512-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOVEMENT STUDIO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "541-535-7019",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "03975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talent Clinic, LLC
• Talent Health RX Inc
• Talent Pharmacy Inc (Medicap Pharmacy)
• Max Tenscher, FNP
• Lorie Tensen, LCSW
• Theo Stewart-Franzen, PSYD LLC
• Thrive Within Counseling
• Alexis A Tracy, D.O.
• Turning Point Physical Therapy LLC
• Valley Plastic Surgery LLC

• Physical Therapist in Talent, OR
• Providers in Talent, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.