Healthcare Provider Details

I. General information

NPI: 1043808629
Provider Name (Legal Business Name): MOVEMENT MATTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2021
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FARRELL ST STE 7
SOUTH BURLINGTON VT
05403-6371
US

IV. Provider business mailing address

9 COOPER BAY S
GRAND ISLE VT
05458-2430
US

V. Phone/Fax

Practice location:
  • Phone: 802-318-5564
  • Fax: 877-659-1695
Mailing address:
  • Phone: 802-318-5564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSICA CLAIRE HILL
Title or Position: PHYSICAL THERAPIST, PRESIDENT
Credential: PT
Phone: 802-318-5564