MEDICARE: MOVEWELL PHYSICAL THERAPY 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1710742820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVEWELL PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	2446 E NORTH LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-3728
Country	:	US
Telephone Number	:	602-702-4978
Fax Number	:

Provider Business Practice Location Address
First Line	:	2446 E NORTH LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-3728
Country	:	US
Telephone Number	:	602-702-4978
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	CHRISTOPHER STAPLES
Credential	:	PT, DPT
Telephone Number	:	602-702-4978

Provider Enumeration Date	:	02/19/2024
Last Update Date	:	02/19/2024

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Directions to “MOVEWELL PHYSICAL THERAPY LLC ” Practice Location

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