Healthcare Provider Details

I. General information

NPI: 1235806944
Provider Name (Legal Business Name): THE HUMAN MOVEMENT INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2944 NATIONAL PIKE # 117
CHALK HILL PA
15421-1002
US

IV. Provider business mailing address

PO BOX 117
CHALK HILL PA
15421-0117
US

V. Phone/Fax

Practice location:
  • Phone: 304-319-0101
  • Fax: 724-203-6218
Mailing address:
  • Phone: 304-319-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JUSTIN C DESKOVICH
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 304-319-0101