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General NPI Number Information
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NPI Number | 1336085067
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Entity Type | Organization
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Legal Business Name | MOMENTUM PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 842 COLLINS BLVD UNIT MNO
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City | COVINGTON
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State | LA
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Zip | 70433-2759
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Country | US
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Telephone | 985-630-6130
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Fax |
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Provider Business Mailing Address
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Address Line | 211 CHENEL ST
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City | FOLSOM
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State | LA
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Zip | 70437-5528
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Country | US
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Telephone | 985-630-6130
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MATTHEW WARREN
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Credential | PT
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Telephone | 985-630-6130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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