MOMENTUM MOVEMENT CLINIC LLC


Address: 400 W Moreland Blvd Ste A, Waukesha, WI 53188-2425
Phone: 2623738765

MOMENTUM MOVEMENT CLINIC LLC (NPI# 1124662465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124662465
Entity Type Organization
Organization Name MOMENTUM MOVEMENT CLINIC LLC
Practice Address 400 W Moreland Blvd Ste A
Waukesha
WI 53188-2425
Practice Telephone 2623738765
Mailing Telephone 2623738765
Enumeration Date 2019-10-30
Last Update Date 2019-10-30
Authorized Official Name LISA MCNEIL (OWNER)
Authorized Official Telephone 2623738765
Authorized Official Credential LMT, CFSS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Office Location

Street Address 400 W MORELAND BLVD STE A
City WAUKESHA
State WI
Zip Code 53188-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417591751 Lisa Mcneil Massage Therapist 400 W Moreland Blvd Ste A, Waukesha, WI 53188-2425 2019-10-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336787126 Nicole Lee Berg-johnson Nurse Practitioner 820 Crestwood Dr., Waukesha, WI 53188 2019-12-12
1013475706 Rachel Mueller Occupational Therapist 29667 Summit Ave, S11, Waukesha, WI 53188 2019-03-12
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavioral Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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1912481185 Visiting Nurse Community Care, Inc. Clinic/Center 600 52nd St Ste 300, Kenosha, WI 53140-3423 2018-09-24
1790270932 Genesis Eldercare Rehabilitation Services LLC Clinic/Center 533 E Calumet St, Chilton, WI 53014-1649 2018-06-29
1225548316 Thrive Learning Center, LLP Clinic/Center N3219 County Road H Ste F, Lake Geneva, WI 53147-7074 2017-10-03
1720431877 Milwaukee Center for Independence Clinic/Center 6100 N Baker Rd, Glendale, WI 53209-3704 2016-07-13
1518334986 Physiotherapy Associates Inc Clinic/Center 3910 W Lisbon Ave, Milwaukee, WI 53208-1834 2015-09-01
1417367509 Specialized Therapy Services LLC Clinic/Center 890 Elm Grove Rd Ste 1-1, Elm Grove, WI 53122-2528 2014-04-29
1710300173 Genesis Eldercare Rehabilitation Services LLC Clinic/Center 1800 Bluebell Ln, C/o Harmony of Stevens Point, Stevens Point, WI 54482-8983 2014-01-21
1386900918 Ministry Door County Clinic/Center 323 S 16th Pl, Sturgeon Bay, WI 54235 2012-04-09
1720364045 Kreative Connexions Therapy Services, LLC Clinic/Center 3111 W National Ave, Milwaukee, WI 53215-1127 2011-11-01
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Competitor

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City WAUKESHA
Zip Code 53188

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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