MEDICARE: MOVE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1053823484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVE PLLC

Provider Business Mailing Address
First Line	:	2900 PERTH DR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-9032
Country	:	US
Telephone Number	:	405-556-1808
Fax Number	:

Provider Business Practice Location Address
First Line	:	9433 N KELLEY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73131-2415
Country	:	US
Telephone Number	:	405-285-4017
Fax Number	:	405-445-3273

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. PAIGE SIMS
Credential	:	PT
Telephone Number	:	405-556-1808

Provider Enumeration Date	:	10/25/2017
Last Update Date	:	09/27/2022

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