Healthcare Provider Details

I. General information

NPI: 1932022662
Provider Name (Legal Business Name): BUILT TO MOVE REHAB & PERFORMANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2555 HALLECK DR
WHITEHALL PA
18052-3805
US

IV. Provider business mailing address

2555 HALLECK DR
WHITEHALL PA
18052-3805
US

V. Phone/Fax

Practice location:
  • Phone: 610-504-7455
  • Fax:
Mailing address:
  • Phone: 610-504-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACOB TERRY MEYERS
Title or Position: OWNER
Credential: OTR/L
Phone: 610-504-7455