Momentum Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOMENTUM PHYSICAL THERAPY

Practice address

526 Brunswick Rd
Grass Valley, CA 95945-9392

Phone

(530) 615-4557

Fax

(530) 615-4312

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Kim M Iverson-Lee, MPTNPI 1922287879

Title

Owner

Phone

(530) 615-4557

Specialties & licenses 1

Addresses

Other names 1

• Momentum 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.

• Kim Iverson-Lee, PT

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1922287879
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1881295293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LITTON DR STE 200",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455080",
            "telephone_number": "530-615-4557",
            "fax_number": "530-615-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 BRUNSWICK RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459392",
            "telephone_number": "530-615-4557",
            "fax_number": "530-615-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "IVERSON-LEE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-615-4557",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Momentum Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MJ Silva Medical Corporation
• Maggie Moffitt
• Benjamin B Moller
• John Patrick Moller, B.PHARM
• Nicole Molnar, RADT
• Neva Marie Monigatti Lake, MD
• Linda Monroe, PA-C
• Christopher Montanaro, D.O.
• Maria E Montano
• Susan Moody

• Physical Therapist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.