Healthcare Provider Details
I. General information
NPI: 1558221515
Provider Name (Legal Business Name): MOVING MOMENTS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3191 GRISEMORE RD
CLYMER PA
15728-8940
US
IV. Provider business mailing address
3191 GRISEMORE RD
CLYMER PA
15728-8940
US
V. Phone/Fax
- Phone: 814-505-6886
- Fax:
- Phone: 814-505-6886
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251P0200X |
| Taxonomy | Pediatric Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CASSANDRA
LYNN
MOVINSKY
Title or Position: OWNER
Credential: PT, DPT
Phone: 814-505-6886