Healthcare Provider Details

I. General information

NPI: 1881558930
Provider Name (Legal Business Name): YOUR MOVE PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 BROOKWOOD DR
HIGH POINT NC
27262-4505
US

IV. Provider business mailing address

1100 BROOKWOOD DR
HIGH POINT NC
27262-4505
US

V. Phone/Fax

Practice location:
  • Phone: 336-422-6244
  • Fax:
Mailing address:
  • Phone:
  • 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: DR. JASON PELLETIER
Title or Position: OWNER
Credential: PT
Phone: 336-422-6244