Mountain Range of Motion, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOUNTAIN RANGE OF MOTION, LLC

Practice address

1120 Thurston Hill Road
Madison, ME 04950

Phone

(207) 696-3688

NPI assigned

May 15, 2021

Organization subpart

No

Name

Dr. Jessica Jean Buja, PT, DPTNPI 1861513020

Title

Physical Therapist

Phone

(207) 696-3688

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

• Jessica Jean Bouffard Buja, DPT

  • Physical Therapist
  • Skowhegan, ME
  • NPI 1861513020

  ME, Physical Therapist

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2021.

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1891369716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 THURSTON HILL ROAD",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "04950",
            "telephone_number": "207-696-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 THURSTON HILL ROAD",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "04950",
            "telephone_number": "207-696-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RANGE OF MOTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "BUJA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "207-696-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maine School Administrative District 59
• Maine School Administrative District 59
• Jeffrey Marston, TTS-C,MSPSY
• Lisa B Miller, OT883
• Christy L Morgan, SAS2155
• Msad59
• North Country Associates, Inc
• Loraine Paradis, DO
• Edward Allen Quimby Jr., RT (R)
• Denise I Quinlan, RDH

• All providers in Madison, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.