Made to Move Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MADE TO MOVE PHYSICAL THERAPY LLC

Practice address

3902 E Central Ave
Bentonville, AR 72712-3141

Phone

(479) 364-0223

Fax

(479) 364-0397

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Trevor DavidsonNPI 1598714867

Title

Owner

Phone

(479) 364-0223

Specialties & licenses 2

Addresses

Other names 1

• Made to Move Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trevor Davidson, PT, DPT, OCS, MTC

  • Physical Therapist
  • Bentonville, AR
  • NPI 1598714867
  Medicare reassignment Care Compare group NPD Authorized official
• Mackenzie Ann Rhea, PT, DPT

  • Physical Therapist
  • Rogers, AR
  • NPI 1942612304
  Medicare reassignment Care Compare group NPD
• Brandon Matthew Fitch, D.C.

  • Chiropractor
  • Bentonville, AR
  • NPI 1013213271
  NPD (past)

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1861208472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 E CENTRAL AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123141",
            "telephone_number": "479-364-0223",
            "fax_number": "479-364-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 E CENTRAL AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123141",
            "telephone_number": "479-364-0223",
            "fax_number": "479-364-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE TO MOVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-364-0223"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Made to Move Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debbie Mack
• Rachel Carlisle Macleod, MD
• Robert Angus Macleod, M.D.
• Tara Nicole Madden, RN
• Madison Maddox
• Gretchen Alece Magee, AUD
• Linda May Maiers, OTR/L, CHT
• Main Street Dental GPS, PLLC
• Main Street Dental PLLC
• Maline Orthopedics, PLLC

• Physical Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.