Mountain River Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MOUNTAIN RIVER PHYSICAL THERAPY LLC

Practice address

1720 SE 16TH Ave
Suite 302
Ocala, FL 34471-4620

Phone

(352) 512-0825

Fax

(352) 512-0826

NPI assigned

Jan 23, 2013

Last updated

May 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Burton Richard Reed, PT, OCS, FAAOMPTNPI 1154337293

Title

Owner/Physical Therapist

Phone

(304) 865-6778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mountain River Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1487668794

  0547259335

  Same PAC ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Burton R Reed, PT, OCS, FAAOMPT

  • Physical Therapist
  • Ocala, FL
  • NPI 1154337293
  Medicare reassignment NPD Authorized official
• Brian Christopher Duffy, DPT, OCS

  • Physical Therapist
  • Bradenton, FL
  • NPI 1134318009
  Medicare reassignment NPD
• Megan Hrenchir Walker, PT, DPT

  • Physical Therapist
  • Ocala, FL
  • NPI 1487166732
  Medicare reassignment NPD

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1093053225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST",
            "address_2": "SUITE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE",
            "address_2": "SUITE 302",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-512-0825",
            "fax_number": "352-512-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RIVER PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "304-865-6778",
        "authorized_official_credential": "PT, OCS, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Lee Mostov, DO
• Ankith Reddy Motkar, M.D
• Brittney C Motley
• Felecia Motley
• Pacia Moultrie
• Mountain River Physical Therapy Specialists LLC
• Tyler Mouw
• Move Ability Chiropractic PLLC
• Moving Forward Physical Therapy, Inc.
• Shawn Adam Mowry, CRNA

• Physical Therapy Clinic/Center in Ocala, FL
• Providers in Ocala, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.