Healthcare Provider Details

I. General information

NPI: 1104745280
Provider Name (Legal Business Name): MOVEMENT THRIVES PHYSICAL THERAPY AND ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 30TH ST RM 904
NEW YORK NY
10001-4125
US

IV. Provider business mailing address

150 W 30TH ST RM 904
NEW YORK NY
10001-4125
US

V. Phone/Fax

Practice location:
  • Phone: 332-699-4448
  • Fax:
Mailing address:
  • Phone: 332-699-4448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. MARVIN CATIBOG
Title or Position: OWNER
Credential: PT, DPT
Phone: 848-391-4379