Active NPIOrganization

Movement Connection LLC

Health & Wellness Coach in Gardner, Massachusetts

NPI Number1417815655
Practice location
696 W Broadway, Gardner, MA 01440-2809
Fax
—
Last updated
January 15, 2026

Movement Connection LLC is a healthcare organization based in Gardner, MA. Movement Connection LLC practices in Gardner, MA. The NPI Number for Movement Connection LLC is 1417815655. The current practice location address for Movement Connection LLC is 696 W Broadway, Gardner, MA 01440-2809 and can be reached out via phone at 978-204-2786.

Provider Profile Details

NPI Number
1417815655
Provider Name
Movement Connection LLC
Provider Entity Type
Organization
Address
696 W Broadway, Gardner, MA 01440-2809
Phone Number
978-204-2786
Primary Taxonomy
Health & Wellness Coach · 171400000X
Organization Subpart
No
Authorized Official
Colleen Bogonovich · Operations Manager · 508-783-5597
Other Names
Nutrition & Crossfit 696 (Doing Business As)
Crossfit 696 (Doing Business As)
Provider Enumeration Date
January 15, 2026
Last Update Date
January 15, 2026
Certification Date
January 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
696 W Broadway
Gardner, MA 01440-2809
Zip
01440-2809
Phone Number
978-204-2786
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
80 Allen St
Gardner, MA 01440-1922
City
Gardner
State
MA
Zip
01440-1922
Phone Number
978-204-2786

License Information

Taxonomy (1)
Dietitian, Registered · 133V00000X
Taxonomy (2)
Health Educator · 174H00000X
Taxonomy (3)
Health & Wellness Coach · 171400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Movement Connection LLC?

The NPI number of Movement Connection LLC is 1417815655. It was assigned on January 15, 2026 and is currently active in the NPPES registry.

What is the specialty of Movement Connection LLC?

Movement Connection LLC is registered under the primary taxonomy Health & Wellness Coach (code 171400000X).

Where does Movement Connection LLC practice?

The practice location is 696 W Broadway, Gardner, MA 01440-2809. The office can be reached at 978-204-2786 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417815655 directly on the NPPES registry website.

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