=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417876434
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOVERE CONCIERGE PHYSICAL THERAPY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2026
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 240 PICTON RD
-----------------------------------------------------
City | ROSELLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60172-3503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-977-9686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 240 PICTON RD
-----------------------------------------------------
City | ROSELLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60172-3503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-977-9686
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MALGORZATA AUGUSTYN
-----------------------------------------------------
Credential | PT, DPT
-----------------------------------------------------
Telephone | 773-977-9686
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2000X
-----------------------------------------------------
Taxonomy Name | Physical Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------