Moving Mountains Therapy at Home LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOVING MOUNTAINS THERAPY AT HOME LLC

Doing business as

Moving Mountains Therapy at Home
Moving Mountains Therapy at Home LLC

Practice address

20469 Jacklight LN
Bend, OR 97702-3074

Phone

(360) 306-1383

Fax

(541) 316-6526

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Doniel M Hagee, DPT, OCS, ATCNPI 1083699888

Title

Doctor of Physical Therapy

Phone

(360) 306-1383

Specialties & licenses 1

Addresses

Other names 2

• Moving Mountains Therapy at Home Doing business as
• Moving Mountains Therapy at Home LLC Doing business as

Practitioners 1

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

• Doniel M Hagee, DPT

  • Physical Therapist
  • Lynden, WA
  • NPI 1083699888
  NPD Authorized official

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1780224196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090783",
            "telephone_number": "541-316-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20469 JACKLIGHT LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023074",
            "telephone_number": "360-306-1383",
            "fax_number": "541-316-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVING MOUNTAINS THERAPY AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "HAGEE",
        "authorized_official_first_name": "DONIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "360-306-1383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OCS, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moving Mountains Therapy at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moving Mountains Therapy at Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mountain View Naturopathic Medicine, Inc.
• Mountain West Derm - Blackhart PLLC (Bend Dermatology Clinic)
• Move & Go Physio LLC
• Moving Being LLC
• Moving Mountains Counseling Services LLC
• Moving Strides, LLC.
• Roberta Lesli Mowdy, PMHNP-BC
• Kate Moya, FNP-C, ARNP
• Alanna Mozena, MD
• Deanna Mozo Hellwich, PH.D.

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.