Mission Mobile Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MISSION MOBILE PHYSICAL THERAPY LLC

Practice address

1603 Larch St Unit 315
Longview, WA 98632-0801

Phone

(360) 827-1651

Fax

(888) 972-6936

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Stamp, DPT

Title

Owner

Phone

(360) 827-1651

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1609770544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986327200",
            "telephone_number": "360-827-1651",
            "fax_number": "888-972-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 LARCH ST UNIT 315",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986320801",
            "telephone_number": "360-827-1651",
            "fax_number": "888-972-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MOBILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "STAMP",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-827-1651",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Minthorn, RN
• Mason Minton, LMP
• Diane Michelle Miollis, LMP
• Philip James Miollis, DDS
• Idelee Garcia Miranda, M.D.
• Angela Lynn Mitchell, SUDP, LICSWA
• Cecily Kaninawe Mitchell, LMP
• Hannah Mitchell, DO
• Michael Mitchell
• Misty Mitchell

• Physical Therapist in Longview, WA
• Providers in Longview, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.