Diversified Pain & Movement Therapy

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DIVERSIFIED PAIN & MOVEMENT THERAPY

Practice address

875 140TH Ave NE Ste 103
Bellevue, WA 98005

Phone

(425) 531-9886

Fax

(253) 345-5129

NPI assigned

Dec 8, 2017

Organization subpart

Yes

Parent organization

DIVERSIFIED PAIN & MOVEMENT THERAPYAs reported in NPPES

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

Authorized official

Name

Judith A Rosevear, MS, OTR/LNPI 1356522346

Title

Owner

Phone

(425) 531-9886

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diversified Movement Therapy MediTouch Clinic Doing business as

Part of

Diversified Pain Movement Therapy

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Ann Rosevear, M.S.,OTR/L

  • Occupational Therapist
  • Bellevue, WA
  • NPI 1356522346
  NPD Authorized official
• Pin-Chen Lu

  • Physical Medicine & Rehabilitation Physician
  • Bellevue, WA
  • NPI 1821827221
  NPD (past)
• Rachel McCarter, COTA/L

  • Occupational Therapy Assistant
  • Bellevue, WA
  • NPI 1417445156
  NPD (past)
• Beth Leann Allen McMorran, P.T.

  • Physical Therapist
  • Bellevue, WA
  • NPI 1619270121
  NPD (past)
• Meenakshi Singh

  • Physical Therapist
  • Sammamish, WA
  • NPI 1861784654
  NPD (past)
• Patricia Ann Hofferber, P.T.

  • Physical Therapist
  • Solvang, CA
  • NPI 1497954705
  NPD (past)

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1477068641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 140TH AVE NE STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053400",
            "telephone_number": "425-531-9886",
            "fax_number": "253-345-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 140TH AVE NE STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98005",
            "telephone_number": "425-531-9886",
            "fax_number": "253-345-5129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 7th Ave Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980335665",
            "country_code": "US",
            "telephone_number": "208-251-1747",
            "fax_number": "425-947-9841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15650 NE 24th St Ste C3",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980082460",
            "country_code": "US",
            "telephone_number": "208-251-1747",
            "fax_number": "425-947-9841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSIFIED PAIN & MOVEMENT THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIVERSIFIED PAIN & MOVEMENT THERAPY",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "ROSEVEAR",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-531-9886",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098601",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Movement Therapy MediTouch Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Dirks
• Discovery Practice Management, Inc
• Discovery Practice Management, Inc
• Charlotte Dittmar, BCBA, LBA
• Kayla Divers
• Ryan Dix
• Robert J Dixey, DDS
• David Dixon, PH.D.
• Gregory Andrew Dixon, DPT
• Dkeidek, Fernyhough, Gile, Hagel, Nov & Quickstad PLLC

• All providers in Bellevue, WA
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.