Organization Active NPI

Movement Breakthrough LLC

  • Chiropractor
  • Lynnwood, WA
National Provider Identifier
1861924227
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOVEMENT BREAKTHROUGH LLC
Practice address
19031 33Rd Ave W
Suite 315
Lynnwood, WA 98036-4731
Phone
(425) 522-2807
Fax
(425) 332-7034
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Matthew J Trimner, DC
Title
Managing Member
Phone
(425) 522-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

19031 33Rd Ave W
Suite 315
Lynnwood, WA 98036-4731

Mailing address

19031 33Rd Ave W
Suite 315
Lynnwood, WA 98036-4731
Phone (425) 522-2807

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1861924227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W",
            "address_2": "SUITE 315",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364731",
            "telephone_number": "425-522-2807",
            "fax_number": "425-332-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W",
            "address_2": "SUITE 315",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364731",
            "telephone_number": "425-522-2807",
            "fax_number": "425-332-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT BREAKTHROUGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "TRIMNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "425-522-2807",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.