Healthcare Provider Details

I. General information

NPI: 1891605457
Provider Name (Legal Business Name): ON THE MOVE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14034 US-231 431 N
HAZEL GREEN AL
35750
US

IV. Provider business mailing address

89 POWER STATION RD
TAFT TN
38488-5101
US

V. Phone/Fax

Practice location:
  • Phone: 239-634-6497
  • Fax:
Mailing address:
  • Phone: 239-634-6497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA PULLEN
Title or Position: OWNER
Credential: DPT
Phone: 239-634-6497