Provider Demographics
NPI:1467975615
Name:MOVE PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:MOVE PHYSICAL THERAPY PLLC
Other - Org Name:THE MOVEMENT MINISTRY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BACARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:734-636-0286
Mailing Address - Street 1:428 S MONROE ST STE 106
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-2249
Mailing Address - Country:US
Mailing Address - Phone:734-636-0286
Mailing Address - Fax:
Practice Address - Street 1:428 S MONROE ST STE 106
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-2249
Practice Address - Country:US
Practice Address - Phone:734-636-0286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty