Organization Active NPI

Motionworks Manual Physical Therapy, Incorporated

  • Physical Therapy Clinic/Center
  • Goldsboro, NC
National Provider Identifier
1861471922
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
7222 Issued in NC
Legal business name
MOTIONWORKS MANUAL PHYSICAL THERAPY, INCORPORATED
Practice address
1101 Gracie PL
Suite C
Goldsboro, NC 27534-2260
Phone
(919) 734-9644
Fax
(919) 429-8473
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Ms. Rita Marie Kierski, PT
Title
Physical Therapist/Owner
Phone
(919) 734-9644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 7222 NC Primary

Addresses

Primary practice location

1101 Gracie PL
Suite C
Goldsboro, NC 27534-2260

Mailing address

1101 Gracie PL
Suite C
Goldsboro, NC 27534-2260
Phone (919) 734-9644

Other identifiers 1

IdentifierTypeStateIssuer
7211810MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000125 NC Part B Supplier - Clinic/Group Practice 9234166125 Receives reassigned benefits from 2 practitioners
Practice locations: Goldsboro, NC

National Provider Directory

National Provider Directory

Locations

1101A Gracie Pl
Goldsboro, NC 27534
Phone (919) 734-9644

1101 Gracie Pl
#A
Goldsboro, NC 27534
Phone (919) 734-9644

1101 Gracie Pl
Ste C
Goldsboro, NC 27534
Phone (919) 734-9644

1314 Wayne Memorial Dr
Ste C
Goldsboro, NC 27534
Phone (919) 734-9644

Practitioners & affiliated clinicians

Practitioners 5

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": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1861471922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GRACIE PL",
            "address_2": "SUITE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342260",
            "telephone_number": "919-734-9644",
            "fax_number": "919-429-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GRACIE PL",
            "address_2": "SUITE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275342260",
            "telephone_number": "919-734-9644",
            "fax_number": "919-429-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIONWORKS MANUAL PHYSICAL THERAPY, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "KIERSKI",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "919-734-9644",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "7222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211810",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.