Enliven Movement, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENLIVEN MOVEMENT, LLC

Practice address

1316 Rutledge Ave Ste 108
Charleston, SC 29403-3050

Phone

(845) 242-8732

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Kerri Ann Waegelein, PT, DPT, OCS

Title

President

Phone

(845) 242-8732

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1922622067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 RUTLEDGE AVE STE 108",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033050",
            "telephone_number": "845-242-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 RUTLEDGE AVE STE 108",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033050",
            "telephone_number": "845-242-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIVEN MOVEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "WAEGELEIN",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-242-8732",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew England
• Meghan England
• Kelly Marie Engle, MD
• Jessica Arthur English, MD, MSCR
• Emillie McKenzie Engram
• Enmed Microanalytics, Inc
• Deanne S Ennis, LPC
• Willis Ashton Ennis, M.D.
• Natalie Jeannette Enter, LPC
• Teri Jean Entler, MA LMHC

• Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.