Organization Active NPI

Healers of Motion Physical Therapy LLC

Doing business as Pembroke Pines Physical Therapy

  • Physical Therapist
  • Pembroke Pines, FL
National Provider Identifier
1922655802
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALERS OF MOTION PHYSICAL THERAPY LLC
Doing business as
Pembroke Pines Physical Therapy
Practice address
18503 Pines Blvd Ste 309
Pembroke Pines, FL 33029-1406
Phone
(305) 987-8904
NPI assigned
Aug 24, 2019
Last updated
Aug 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Authorized official

Name
Evelyn Mora, PT, DPTNPI 1518297993
Title
Physical Therapist / Owner
Phone
(305) 987-8904

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 Therapist 225100000X Primary

Addresses

Primary practice location

18503 Pines Blvd Ste 309
Pembroke Pines, FL 33029-1406

Mailing address

6564 Pelican Ave
Coconut Creek, FL 33073-2423
Phone (305) 987-8904

Other names 1

  • PEMBROKE PINES PHYSICAL THERAPY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200828000300 FL Part B Supplier - Clinic/Group Practice 2365869914 Receives reassigned benefits from 1 practitioner
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

18503 Pines Blvd
Ste 309
Pembroke Pines, FL 33029
Phone (305) 987-8904

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": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566604800000",
    "number": "1922655802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 PELICAN AVE",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732423",
            "telephone_number": "305-987-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 309",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291406",
            "telephone_number": "305-987-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALERS OF MOTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-24",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "305-987-8904",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMBROKE PINES PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.