Provider Demographics
NPI:1063928364
Name:MOVEMENT SOLUTIONS PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:MOVEMENT SOLUTIONS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-604-0568
Mailing Address - Street 1:10030 CALLABRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-2421
Mailing Address - Country:US
Mailing Address - Phone:704-604-0568
Mailing Address - Fax:704-394-9587
Practice Address - Street 1:10345 NATIONS FORD RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5822
Practice Address - Country:US
Practice Address - Phone:704-604-0568
Practice Address - Fax:704-394-9587
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOVEMENT SOLUTIONS PHYSICAL THERAPY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15816225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty