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NPI Code Detail

MEDICARE: MEANINGFUL MOVEMENT LLC

MEDICARE: MEANINGFUL MOVEMENT LLC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1316563208
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEANINGFUL MOVEMENT LLC
Provider Business Mailing Address
First Line : 6314 AUTUMN MOSS CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-3514
Country : US
Telephone Number : 757-409-1955
Fax Number :
Provider Business Practice Location Address
First Line : 7401 CARMEL EXECUTIVE PARK DR STE 305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-4219
Country : US
Telephone Number : 980-785-3773
Fax Number : 980-236-9399
Authorized Official
Title or Position : OWNER
Name : CRYSTAL MYERS
Credential : DPT
Telephone Number : 757-409-1955
Provider Enumeration Date : 06/17/2020
Last Update Date : 01/20/2025

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Directions to “MEANINGFUL MOVEMENT LLC ” Practice Location

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