Provider Demographics
NPI:1467112433
Name:MOVE 2 IMPROVE PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:MOVE 2 IMPROVE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:269-599-3609
Mailing Address - Street 1:10905 KNIGHT CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-0211
Mailing Address - Country:US
Mailing Address - Phone:269-599-3609
Mailing Address - Fax:
Practice Address - Street 1:120 ACADEMY ST STE 102-064
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-1838
Practice Address - Country:US
Practice Address - Phone:269-599-3609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty