Provider Demographics
NPI:1053823484
Name:MOVE PLLC
Entity Type:Organization
Organization Name:MOVE PLLC
Other - Org Name:RESTORE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:405-556-1808
Mailing Address - Street 1:2900 PERTH DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-9032
Mailing Address - Country:US
Mailing Address - Phone:405-556-1808
Mailing Address - Fax:
Practice Address - Street 1:9433 N KELLEY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73131-2415
Practice Address - Country:US
Practice Address - Phone:405-285-4017
Practice Address - Fax:405-445-3273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty