NPIMap

Organization Active NPI

Mosaic, Inc

Doing business as Mosaic Rehabilitation

  • Clinic/Center
  • Belgrade, MT
National Provider Identifier
1407171507
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
9393 Issued in MT
Legal business name
MOSAIC, INC
Doing business as
Mosaic Rehabilitation
Practice address
6325 Jackrabbit LN
Ste a
Belgrade, MT 59714-9128
Phone
(406) 388-4988
Fax
(406) 388-6188
NPI assigned
Mar 31, 2010
Last updated
May 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Mrs. Heidi A Thomas, DPTNPI 1760430011
Title
President
Phone
(406) 388-4988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 9393 MT Primary

Addresses

Primary practice location

6325 Jackrabbit LN
Ste a
Belgrade, MT 59714-9128

Mailing address

6325 Jackrabbit LN
Ste a
Belgrade, MT 59714-9128
Phone (406) 388-4988

Other names 1

  • Mosaic Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100621000941 MT Part B Supplier - Clinic/Group Practice 9638200561 Receives reassigned benefits from 16 practitioners
Practice locations: Belgrade, MT

National Provider Directory

National Provider Directory
Tax ID family
Mosaic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Mosaic Inc

    dba MOSAIC Rehabilitation

    • Rehabilitation Clinic/Center
    • Belgrade, MT
    • NPI 1194910430
    NPD tax ID

Locations

6325 Jackrabbit Ln
Ste A
Belgrade, MT 59714
Phone (406) 388-4988

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1407171507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 JACKRABBIT LN",
            "address_2": "STE A",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597149128",
            "telephone_number": "406-388-4988",
            "fax_number": "406-388-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 JACKRABBIT LN",
            "address_2": "STE A",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597149128",
            "telephone_number": "406-388-4988",
            "fax_number": "406-388-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-388-4988",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MT",
            "license": "9393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belgrade, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.