Provider Demographics
NPI:1992523161
Name:PEDIATRIC MOVEMENTS LLC
Entity type:Organization
Organization Name:PEDIATRIC MOVEMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GURSOY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:570-977-3501
Mailing Address - Street 1:5708 WATERS EDGE LANDING CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2611
Mailing Address - Country:US
Mailing Address - Phone:570-977-3501
Mailing Address - Fax:
Practice Address - Street 1:5708 WATERS EDGE LANDING CT
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-2611
Practice Address - Country:US
Practice Address - Phone:570-977-3501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty