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Movement Headquarters Physical Therapy

NPI 1629603022ActiveOrganization· Physical Therapist· Northport, NY

Physical Therapist in Northport, New York, registered in NPPES in March 2020. The authorized official on file is Patrick Clark Gathman, PT, DPT, CSCS, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1629603022
StatusActive
Entity typeOrganization
NPI issuedMar 5, 2020
Last updated in NPPESAug 10, 2026
Certified by providerAug 10, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NY)

Medicare sources and data years

Other physical therapists in Northport

All 51 physical therapists in Northport · All physical therapists in New York