Eat Move Grow LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTP-OT-LIC-3971 Issued in MT

Legal business name

EAT MOVE GROW LLC

Practice address

3031 S Russell St Ste B
Missoula, MT 59801-8523

Phone

(406) 396-4130

Fax

(406) 797-5008

NPI assigned

Sep 13, 2016

Last updated

Dec 21, 2022By 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

Laura Olsonoski, OTD, OTR/LNPI 1700268554

Title

Owner

Phone

(952) 356-6778

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 6

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.

• Laura Olsonoski, OTD

  • Occupational Therapist
  • Missoula, MT
  • NPI 1700268554
  Medicare reassignment NPD Authorized official
• Tessa Caroleen Gravante, OTR/L

  • Occupational Therapist
  • Missoula, MT
  • NPI 1790292415
  Medicare reassignment NPD
• Christina Sinskichott, OTR

  • Occupational Therapist
  • Missoula, MT
  • NPI 1285146670
  Medicare reassignment NPD
• Samantha Nicole Rogozynski, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Stevensville, MT
  • NPI 1083278543
  NPD
• Jane Reynolds

  • Speech-Language Pathologist
  • Missoula, MT
  • NPI 1730637075
  NPD (past)
• Shanna Lee Stack

  • Speech-Language Pathologist
  • Missoula, MT
  • NPI 1346682911
  NPD (past)

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1255889846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018523",
            "telephone_number": "952-356-6778",
            "fax_number": "406-315-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S RUSSELL ST STE B",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018523",
            "telephone_number": "406-396-4130",
            "fax_number": "406-797-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT MOVE GROW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "OLSONOSKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-356-6778",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "OTP-OT-LIC-3971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Earle
• Early Blossoms Speech Therapy
• Terran Eastham
• Melissa Eastlick, LCSW
• Easy Living Caregiving, LLC
• Eating Disorder Center of Montana
• Lillian Eaton
• Timothy James Eberwein, LMT
• Hailee Marie Eckman, ATC
• Margaret A Eddy, MD

• Occupational Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.