Provider Demographics
NPI:1265516777
Name:MOVEMENT MATTERS
Entity type:Organization
Organization Name:MOVEMENT MATTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:OST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-406-4346
Mailing Address - Street 1:4 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-1632
Mailing Address - Country:US
Mailing Address - Phone:207-406-4346
Mailing Address - Fax:866-395-6111
Practice Address - Street 1:4 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-1632
Practice Address - Country:US
Practice Address - Phone:207-437-3904
Practice Address - Fax:866-395-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT745261QP2000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME131970199Medicaid
ME131970199Medicaid