Provider Demographics
NPI:1538937958
Name:MOVEMINT HEALTH INC
Entity type:Organization
Organization Name:MOVEMINT HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:HOPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-527-8780
Mailing Address - Street 1:22 JONES ST APT 6A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-4144
Mailing Address - Country:US
Mailing Address - Phone:305-527-8780
Mailing Address - Fax:
Practice Address - Street 1:1800 PHOENIX BLVD STE 128-12
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-5593
Practice Address - Country:US
Practice Address - Phone:912-521-5113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty