Provider Demographics
NPI:1659324051
Name:MOVEMENT SYSTEMS PHYSICAL THERAPY, P.S.
Entity Type:Organization
Organization Name:MOVEMENT SYSTEMS PHYSICAL THERAPY, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MHS
Authorized Official - Phone:206-405-1864
Mailing Address - Street 1:1200 WESTLAKE AVE N STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-7201
Mailing Address - Country:US
Mailing Address - Phone:206-405-1864
Mailing Address - Fax:206-405-4376
Practice Address - Street 1:1200 WESTLAKE AVE N STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-7201
Practice Address - Country:US
Practice Address - Phone:206-405-1864
Practice Address - Fax:206-405-4376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602-106-186225100000X
225100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty