Provider Demographics
NPI:1407405269
Name:MOVEMENT SPECIALISTS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:MOVEMENT SPECIALISTS PHYSICAL THERAPY, LLC
Other - Org Name:MOVEMENT SPECIALISTS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DPT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SQUATRITO
Authorized Official - Suffix:III
Authorized Official - Credentials:DPT
Authorized Official - Phone:504-302-9700
Mailing Address - Street 1:4532 W NAPOLEON AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-2469
Mailing Address - Country:US
Mailing Address - Phone:504-302-9700
Mailing Address - Fax:504-302-9800
Practice Address - Street 1:4532 W NAPOLEON AVE STE 101
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-2469
Practice Address - Country:US
Practice Address - Phone:504-302-9700
Practice Address - Fax:504-302-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1598924649OtherNPI