Provider Demographics
NPI:1881439917
Name:BIG MOVES PHYSICAL THERAPY & PERFORMANCE
Entity type:Organization
Organization Name:BIG MOVES PHYSICAL THERAPY & PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ORGANIZER, MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LESLEY
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MBA
Authorized Official - Phone:607-624-8607
Mailing Address - Street 1:13094 NC HIGHWAY 50 STE B
Mailing Address - Street 2:
Mailing Address - City:SURF CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28445-6588
Mailing Address - Country:US
Mailing Address - Phone:910-803-0054
Mailing Address - Fax:910-803-0168
Practice Address - Street 1:13094 NC HIGHWAY 50 STE B
Practice Address - Street 2:
Practice Address - City:SURF CITY
Practice Address - State:NC
Practice Address - Zip Code:28445-6588
Practice Address - Country:US
Practice Address - Phone:910-803-0054
Practice Address - Fax:910-803-0168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-29
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty