Provider Demographics
NPI:1952143844
Name:MOVING ON STRONG
Entity type:Organization
Organization Name:MOVING ON STRONG
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVENI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:404-456-8853
Mailing Address - Street 1:445 W STATE ROAD 436 STE 1013
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-4107
Mailing Address - Country:US
Mailing Address - Phone:407-571-9005
Mailing Address - Fax:407-264-6830
Practice Address - Street 1:445 W STATE ROAD 436 STE 1013
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-4107
Practice Address - Country:US
Practice Address - Phone:407-571-9005
Practice Address - Fax:407-264-6830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-12-20
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