MEDICARE: MOVE PEDIATRIC PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1669331534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVE PEDIATRIC PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	10825 GLENHURST ST
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-8559
Country	:	US
Telephone Number	:	239-590-5488
Fax Number	:

Provider Business Practice Location Address
First Line	:	12499 BRANTLEY COMMONS CT STE 201
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-5694
Country	:	US
Telephone Number	:	239-686-7732
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/PT
Name	:	MELISSA ODETTE MURPHY
Credential	:	PT
Telephone Number	:	239-590-5488

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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