Mountain Motion Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOUNTAIN MOTION PHYSICAL THERAPY LLC

Practice address

32 Parkway
Unit 4
Bethel, ME 04217

Phone

(207) 776-3694

NPI assigned

Dec 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Benjamin EllisNPI 1477957801

Title

Physical Therapist

Phone

(207) 776-3694

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Ellis, PT, DPT

  • Physical Therapist
  • Rumford, ME
  • NPI 1477957801
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1043089592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 ROWE HILL RD",
            "city": "GREENWOOD",
            "state": "ME",
            "postal_code": "042553516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PARKWAY",
            "address_2": "UNIT 4",
            "city": "BETHEL",
            "state": "ME",
            "postal_code": "04217",
            "telephone_number": "207-776-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MOTION PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-25",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "207-776-3694"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Mason, DDS
• Stephanie Mastroianni
• Kirk R McClelland, M.S.W.
• Elizabeth H Meadows, MSW
• Meredith Moses, PA
• Mountain View Eyecare, PA
• Nephrogen Inc.
• Joanne F Nicastro, MSN, NP
• Northern Vista Estate Services
• Susan Mackay Parker, LCPC

• Physical Therapist in Bethel, ME
• Providers in Bethel, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.