MEDICARE: DR. MVMNT 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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1932918919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. MVMNT LLC

Provider Business Mailing Address
First Line	:	525 NE 7TH ST APT 102
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3097
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 NE 7TH ST APT 102
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3097
Country	:	US
Telephone Number	:	717-729-7422
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TUCKER LEVI WRIGHTS
Credential	:
Telephone Number	:	717-729-7422

Provider Enumeration Date	:	01/03/2025
Last Update Date	:	07/10/2025

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