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NPI 1407405269

NPI 1407405269 : MOVEMENT SPECIALISTS PHYSICAL THERAPY, LLC : METAIRIE, LA

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General NPI Number Information
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    NPI Number           |    1407405269
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOVEMENT SPECIALISTS PHYSICAL THERAPY, LLC 
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Dates
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    Enumeration Date     |    09/05/2019
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    4621 W NAPOLEON AVE STE 101 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70001-2478
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    Country              |    US
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    Telephone            |    504-302-9700
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    Fax                  |    504-302-9800
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Provider Business Mailing Address
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    Address Line         |    4621 W NAPOLEON AVE STE 101 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70001-2478
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    Country              |    US
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    Telephone            |    504-302-9700
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    Fax                  |    504-302-9800
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Authorized Official
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    Title or Position    |    OWNER/DPT
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    Name                 |    MR. JOSEPH  SQUATRITO III
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    Credential           |    DPT
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    Telephone            |    504-302-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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