NPIMap

Organization Active NPI

Movement Sports Physical Therapy, LLC

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1902144793
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008407 Issued in GA
Legal business name
MOVEMENT SPORTS PHYSICAL THERAPY, LLC
Practice address
3280 Peachtree Rd NE Ste 160
At Fusion Atl
Atlanta, GA 30305-2430
Phone
(404) 382-8667
Fax
(678) 823-8214
NPI assigned
Jan 29, 2013
Last updated
Aug 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Brian Arthur Yee, PTNPI 1902979032
Title
Owner
Phone
(404) 441-0206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008407 GA Primary

Addresses

Primary practice location

3280 Peachtree Rd NE Ste 160
At Fusion Atl
Atlanta, GA 30305-2430

Mailing address

3280 Peachtree Rd NE Ste 160
At Fusion Atl
Atlanta, GA 30305-2430
Phone (404) 382-8667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000431 GA Part B Supplier - Clinic/Group Practice 7618968066 Receives reassigned benefits from 55 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Corporation of Mercer University8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3280 Peachtree Rd NE
Ste 160
Atlanta, GA 30305
Phone (404) 382-8667

Practitioners & affiliated clinicians

Practitioners 12

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": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1902144793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 PEACHTREE RD NE STE 160",
            "address_2": "AT FUSION ATL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052430",
            "telephone_number": "404-382-8667",
            "fax_number": "678-823-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 PEACHTREE RD NE STE 160",
            "address_2": "AT FUSION ATL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052430",
            "telephone_number": "404-382-8667",
            "fax_number": "678-823-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT SPORTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-441-0206",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.