Pure Movement, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PURE MOVEMENT, LLC

Practice address

1935 Warner Ave
Santa Fe, NM 87505-5452

Phone

(505) 906-6683

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Sullivan, PT, DPTNPI 1619329703

Title

Owner

Phone

(505) 906-6683

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Sullivan

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1619329703
  Medicare reassignment Care Compare group NPD Authorized official
• David Jan Benthem, DPT

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1457117723
  Medicare reassignment Care Compare group NPD
• Daisuke Dean Saiki, PT, DPT

  • Physical Therapist
  • Redondo Beach, CA
  • NPI 1316447576

  NM

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1972194884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 WARNER AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055452",
            "telephone_number": "505-906-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 WARNER AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875055452",
            "telephone_number": "505-906-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MOVEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-906-6683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Puente
• Susan Lee Pulling, M.D.
• Lisa Ann Pulsipher, AU.D.
• Holly Jean Purcell-Callin, CNP
• Pure Life NM Inc
• Jeanie Elena Puro
• Flavia Purpura-Pontoniere
• Lois Mary Purvis, PA LMT
• Douglas A Puryear, MD
• Adam J Putnam, M.D.

• Physical Therapy Clinic/Center in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapy Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.