NPIMap

Organization Active NPI

The MVMT Institute

  • Physical Medicine & Rehabilitation Physician
  • Floyds Knobs, IN
National Provider Identifier
1912549189
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
THE MVMT INSTITUTE
Practice address
3620 Paoli Pike Ste 1
Floyds Knobs, IN 47119-9787
Phone
(812) 903-0001
Fax
(812) 903-0097
NPI assigned
Oct 9, 2019
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Kevin P Lannan, PT, DPT, OCSNPI 1568826774
Title
Owner
Phone
(812) 903-0001

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

3620 Paoli Pike Ste 1
Floyds Knobs, IN 47119-9787

Mailing address

3620 Paoli Pike Ste 1
Floyds Knobs, IN 47119-9787
Phone (812) 903-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200102002302 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456785211 Receives reassigned benefits from 10 practitioners
Practice locations: Floyds Knobs, IN; Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

3620 Paoli Pike
Ste 1
Floyds Knobs, IN 47119
Phone (812) 903-0001

2903 E 10th St
Ste 8
Jeffersonville, IN 47130

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": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1912549189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 PAOLI PIKE STE 1",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199787",
            "telephone_number": "812-903-0001",
            "fax_number": "812-903-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 PAOLI PIKE STE 1",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199787",
            "telephone_number": "812-903-0001",
            "fax_number": "812-903-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MVMT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "LANNAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-903-0001",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floyds Knobs, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.