NPIMap

Organization Active NPI

Living Younger Movment Therapy, LLC

  • Rehabilitation Chiropractor
  • Mesa, AZ
National Provider Identifier
1881067627
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8479 Issued in AZ
Legal business name
LIVING YOUNGER MOVMENT THERAPY, LLC
Practice address
215 S Power Rd
Mesa, AZ 85206-5235
Phone
(602) 821-5008
NPI assigned
Nov 2, 2015
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Mrs. Laura Lamb, BS, LMTNPI 1649643172
Title
Owner
Phone
(602) 821-5008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT20939 AZ
Massage Therapist 225700000X MT20953 AZ
Rehabilitation Chiropractor 111NR0400X 8439 AZ
Rehabilitation Chiropractor 111NR0400X 8479 AZ Primary

Addresses

Primary practice location

215 S Power Rd
Mesa, AZ 85206-5235

Mailing address

508 N Merrill Rd
Mesa, AZ 85207-2423

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1881067627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N MERRILL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852072423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065235",
            "telephone_number": "602-821-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING YOUNGER MOVMENT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-821-5008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT20939",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT20953",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "8439",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "8479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.