Moxie Body P C

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3045 Issued in OR

Legal business name

MOXIE BODY P C

Doing business as

Moxie Body Physical Therapy

Practice address

407 NE 12TH Ave
Suite 102
Portland, OR 97232-2752

Phone

(503) 522-4132

Fax

(503) 239-6125

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Andrea Friedman, P.T.

Title

President

Phone

(503) 522-4132

Specialties & licenses 1

Addresses

Other names 1

• Moxie Body Physical Therapy Doing business as

Locations

Practitioners 1

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

• Helga Lang, PT

  • Physical Therapist
  • Soldotna, AK
  • NPI 1730219247
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578662979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 NE 12TH AVE",
            "address_2": "SUITE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322752",
            "telephone_number": "503-522-4132",
            "fax_number": "503-239-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 NE 12TH AVE",
            "address_2": "SUITE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322752",
            "telephone_number": "503-522-4132",
            "fax_number": "503-239-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOXIE BODY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-522-4132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "3045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moxie Body Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moving Mountain Institute, Inc.
• Alia Mowery
• Blaine E. Mowrey, D.M.D., M.S.
• Marisa Rose Mowrey, DPT
• Jeanne Mowry, M.D.
• Anthony Dicarlos Moxley II
• Delante Asim Moxley
• Jake Moxley, CADC I
• Paige Maracy Moya, BCBA
• Ashley Janelle Moyano-Villa

• Physical Therapy Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.