NPIMap

Organization Active NPI

Moving Mountains Therapy Center, PLLC

  • Mental Health Occupational Therapist
  • Missoula, MT
National Provider Identifier
1528526894
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
Legal business name
MOVING MOUNTAINS THERAPY CENTER, PLLC
Practice address
3031 S Russell St Ste B
Missoula, MT 59801-8523
Phone
(406) 396-4130
Fax
(406) 797-5008
NPI assigned
Mar 6, 2019
Last updated
Sep 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Mrs. Laura Louise Olsowoski, OTD,OTR/L
Title
Co-Owner
Phone
(406) 396-4130

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Mental Health Occupational Therapist 225XM0800X NU Primary

Addresses

Primary practice location

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

Mailing address

3031 S Russell St Ste B
Missoula, MT 59801-8523
Phone (406) 396-4130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208001336 MT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6709298276 Receives reassigned benefits from 10 practitioners
Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

700 SW Higgins Ave
Ste 103
Missoula, MT 59803
Phone (406) 396-4130

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1528526894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "MOVING MOUNTAINS THERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "OLSOWOSKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "406-396-4130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTD,OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.