Provider Demographics
NPI:1679217939
Name:THE MOVEMENT DOC OF TEXAS, PLLC
Entity Type:Organization
Organization Name:THE MOVEMENT DOC OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PONCE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:512-749-2652
Mailing Address - Street 1:1357 HOMESTEAD CV
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-0131
Mailing Address - Country:US
Mailing Address - Phone:512-749-2652
Mailing Address - Fax:
Practice Address - Street 1:1357 HOMESTEAD CV
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-0131
Practice Address - Country:US
Practice Address - Phone:512-749-2652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty