Healthcare Provider Details

I. General information

NPI: 1316739022
Provider Name (Legal Business Name): MOVEMENT MATTERS COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3014 C ST
SAN DIEGO CA
92102-2350
US

IV. Provider business mailing address

3014 C ST
SAN DIEGO CA
92102-2350
US

V. Phone/Fax

Practice location:
  • Phone: 619-243-4592
  • Fax:
Mailing address:
  • Phone: 619-243-4592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIAN WESTPOINT
Title or Position: CO FOUNDER
Credential:
Phone: 619-243-4592