Provider Demographics
NPI:1003458555
Name:THE MOVEMENT CLINIC LLC
Entity type:Organization
Organization Name:THE MOVEMENT CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NISHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:512-820-6998
Mailing Address - Street 1:715 DISCOVERY BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2288
Mailing Address - Country:US
Mailing Address - Phone:512-820-6998
Mailing Address - Fax:512-729-7183
Practice Address - Street 1:715 DISCOVERY BLVD STE 207
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2288
Practice Address - Country:US
Practice Address - Phone:512-900-9910
Practice Address - Fax:512-729-7183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty