MEDICARE: CENTER FOR PEDIATRIC MOVEMENT LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	335E00000X	Prosthetic/Orthotic Supplier
3	225X00000X	Occupational Therapist
4	224Z00000X	Occupational Therapy Assistant
5	332B00000X	Durable Medical Equipment & Medical Supplies
6	225200000X	Physical Therapy Assistant
7	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1881307932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR PEDIATRIC MOVEMENT LLC

Provider Business Mailing Address
First Line	:	6600 FRANCE AVE S STE 164
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1802
Country	:	US
Telephone Number	:	952-600-5882
Fax Number	:	844-444-0718

Provider Business Practice Location Address
First Line	:	6600 FRANCE AVE S STE 164
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-1802
Country	:	US
Telephone Number	:	612-889-0973
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	NICOLE HOFFMAN
Credential	:	DPT
Telephone Number	:	952-600-5882

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	02/06/2026

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