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General NPI Number Information
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NPI Number | 1669331534
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Entity Type | Organization
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Legal Business Name | MOVE PEDIATRIC PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 12499 BRANTLEY COMMONS CT STE 201
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City | FORT MYERS
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State | FL
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Zip | 33907-5694
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Country | US
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Telephone | 239-686-7732
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Fax |
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Provider Business Mailing Address
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Address Line | 10825 GLENHURST ST
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City | FORT MYERS
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State | FL
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Zip | 33913-8559
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Country | US
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Telephone | 239-590-5488
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Fax |
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Authorized Official
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Title or Position | MANAGER/PT
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Name | MELISSA ODETTE MURPHY
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Credential | PT
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Telephone | 239-590-5488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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