Organization Active NPI

Muscle and Movement Therapy LLC

  • Chiropractor
  • Cedarburg, WI
National Provider Identifier
1942662267
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4802-12 Issued in WI
Legal business name
MUSCLE AND MOVEMENT THERAPY LLC
Practice address
W62N228 Washington Ave
Cedarburg, WI 53012-2763
Phone
(262) 546-4696
Fax
(262) 546-0757
NPI assigned
Mar 25, 2016
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Dr. Jeffrey Adam Sergent, DCNPI 1831339522
Title
President/Chiropractor
Phone
(262) 546-4696

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 4802-12 WI Primary

Addresses

Primary practice location

W62N228 Washington Ave
Cedarburg, WI 53012-2763

Mailing address

W62N228 Washington Ave
Cedarburg, WI 53012-2763
Phone (262) 546-4696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160520001409 WI Part B Supplier - Clinic/Group Practice 7416246087 Receives reassigned benefits from 2 practitioners
Practice locations: Cedarburg, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1942662267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W62N228 WASHINGTON AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122763",
            "telephone_number": "262-546-4696",
            "fax_number": "262-546-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W62N228 WASHINGTON AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122763",
            "telephone_number": "262-546-4696",
            "fax_number": "262-546-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE AND MOVEMENT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "SERGENT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "262-546-4696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4802-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.