Organization Active NPI

Movement Chiropractic and Physical Therapy

  • Chiropractor
  • Rockville, MD
National Provider Identifier
1912672676
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MOVEMENT CHIROPRACTIC AND PHYSICAL THERAPY
Practice address
451 Hungerford Dr Ste 510
Rockville, MD 20850-5103
Phone
(301) 738-1148
NPI assigned
Aug 13, 2021
Last updated
Aug 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
William CullenNPI 1669033049
Title
Owner
Phone
(301) 738-1148

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

451 Hungerford Dr Ste 510
Rockville, MD 20850-5103

Mailing address

451 Hungerford Dr Ste 510
Rockville, MD 20850-5103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011000146 DC Part B Supplier - Clinic/Group Practice 6800294554 Receives reassigned benefits from 2 practitioners
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

451 Hungerford Dr
Ste 510
Rockville, MD 20850
Phone (301) 738-1148

Practitioners & affiliated clinicians

Practitioners 2

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": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1912672676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 510",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 510",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505103",
            "telephone_number": "301-738-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT CHIROPRACTIC AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-738-1148"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.