Organization Active NPI

Movere Physical Therapy, LLC

  • Physical Therapist
  • Daphne, AL
National Provider Identifier
1992304661
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOVERE PHYSICAL THERAPY, LLC
Practice address
10758 County Road 64 Ste 2
Daphne, AL 36526-6026
Phone
(334) 590-2650
Fax
(251) 234-3035
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Ashley Renee Paulk, PT, DPT, COMTNPI 1982021754
Title
Owner, Physical Therapist
Phone
(251) 706-7706

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10758 County Road 64 Ste 2
Daphne, AL 36526-6026

Mailing address

10758 County Road 64 Ste 2
Daphne, AL 36526-6026
Phone (334) 590-2650

Other practice location 1

10758 County Road 64 Ste 2
Daphne, AL 36526-6026
Phone (334) 590-2650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210204000065 AL Part B Supplier - Clinic/Group Practice 6406260330 Receives reassigned benefits from 1 practitioner
Practice locations: Daphne, AL

National Provider Directory

National Provider Directory

Locations

10758 County Road 64
Ste 2
Daphne, AL 36526
Phone (334) 590-2650

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1992304661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10758 COUNTY ROAD 64 STE 2",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266026",
            "telephone_number": "334-590-2650",
            "fax_number": "251-234-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10758 COUNTY ROAD 64 STE 2",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266026",
            "telephone_number": "334-590-2650",
            "fax_number": "251-234-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10758 County Road 64 Ste 2",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365266026",
            "country_code": "US",
            "telephone_number": "334-590-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOVERE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "PAULK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "251-706-7706",
        "authorized_official_credential": "PT, DPT, COMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.