Active NPI
Thomas David Moline, PT, MS,
- Physical Therapist
- Hood River, OR
National Provider Identifier
1407928344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03649
- Practice address
- 1627 Woods CT
Hood River, OR 97031-2915 - Phone
- (541) 386-9511
- Fax
- (866) 860-8070
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007650 | WA | |
| Orthopedic Physical Therapist | 2251X0800X | 3649 | OR | |
| Physical Therapist | 225100000X | 03649 | OR | Primary |
Addresses
Primary practice location
1627 Woods CT
Hood River, OR 97031-2915
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322858 | Other | OR | PROVIDENCE HEALTH PLAN |
| J5366-01 | Other | OR | PACIFICSOURCE HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moline & Associates | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Hood River, OR
- NPI 1528841392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1407928344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 WOODS CT",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970312915",
"telephone_number": "541-386-9511",
"fax_number": "866-860-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINE",
"first_name": "THOMAS",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PT, MS,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007650",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "3649",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "03649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE HEALTH PLAN",
"identifier": "322858",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICSOURCE HEALTH PLAN",
"identifier": "J5366-01",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.