Organization Active NPI

Moving Mountains Rehabilitation

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1194468744
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOVING MOUNTAINS REHABILITATION
Practice address
9750 N 96TH St Apt 102
Scottsdale, AZ 85258-5294
Phone
(920) 471-2643
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Savannah A Bruecker, MS, CCC-SLP
Title
Speech-Language Pathologist
Phone
(920) 471-2643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

9750 N 96TH St Apt 102
Scottsdale, AZ 85258-5294

Mailing address

9750 N 96TH St Apt 102
Scottsdale, AZ 85258-5294
Phone (920) 471-2643

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1194468744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 N 96TH ST APT 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585294",
            "telephone_number": "920-471-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 N 96TH ST APT 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585294",
            "telephone_number": "920-471-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING MOUNTAINS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BRUECKER",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "920-471-2643",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.