Organization Active NPI

Movement Clinic Physical Therapy Inc

Doing business as Movement Clinic Physical Therapy

  • Physical Therapy Clinic/Center
  • Pasadena, CA
National Provider Identifier
1932947371
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MOVEMENT CLINIC PHYSICAL THERAPY INC
Doing business as
Movement Clinic Physical Therapy
Practice address
1 W Mountain St Unit 12
Pasadena, CA 91103-3070
Phone
(209) 614-3560
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Jordan McCormack, PT, DPT, OCS
Title
Owner
Phone
(626) 669-3778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1 W Mountain St Unit 12
Pasadena, CA 91103-3070

Mailing address

1 W Mountain St Unit 12
Pasadena, CA 91103-3070
Phone (209) 614-3560

Other names 1

  • Movement Clinic Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1 W Mountain St
Unit 12
Pasadena, CA 91103
Phone (209) 614-3560

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1932947371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MOUNTAIN ST UNIT 12",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033070",
            "telephone_number": "209-614-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MOUNTAIN ST UNIT 12",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033070",
            "telephone_number": "209-614-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT CLINIC PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-669-3778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Movement Clinic Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.