MOVING MOUNTAINS PEDIATRIC THERAPY (NPI# 1396381505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396381505 |
| Entity Type | Organization |
| Organization Name | MOVING MOUNTAINS PEDIATRIC THERAPY |
| Practice Address |
2146 Thompson Ave Se Covington GA 30014-2819 |
| Practice Telephone | 7706056510 |
| Mailing Telephone | 7706056510 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-24 |
| Authorized Official Name | DANIELLE ANDERSON (PHYSICAL THERAPIST/SOLE MEMBER) |
| Authorized Official Telephone | 7706056510 |
| Authorized Official Credential | DPT, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
2146 THOMPSON AVE SE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851878 | Geaux Fight Rehabilitation Services, LLC | Clinic/Center | 424 W 15th Ave, Covington, LA 70433-3310 | 2020-11-03 |
| 1821355991 | Therapeutic Maxipotent | Clinic/Center | 13015 Brown Bridge Rd Ste 210, Covington, GA 30016-9110 | 2012-04-13 |
| 1407126733 | Guidry Physical Therapy Services LLC | Clinic/Center | 70493 Highway 21 Ste 600, Covington, LA 70433-7016 | 2012-01-03 |
| 1518164102 | Matrix Rehabilitation - Georgia, Inc. | Clinic/Center | 5223 Highway 278 Ne, Covington, GA 30014-2671 | 2007-06-28 |
| 1942320627 | Wheelchair & Mobility Clinic, LLC | Clinic/Center | 111 E 19th St, Covington, KY 41014-1201 | 2007-03-29 |
| 1740347368 | Covington Physical Therapy Center | Clinic/Center | 129 Corporate Drive, Covington, LA 70433-1057 | 2007-01-02 |
| 1326153479 | Georgia Rehab Services, Inc. | Clinic/Center | 5109 Highway 278 Ne, Suite # C, Covington, GA 30014-2608 | 2006-08-20 |
| 1225649858 | Advantage Therapy and Rehabilitation LLC | Clinic/Center | 506 4th St, Covington, IN 47932-1127 | 2020-08-17 |
| 1174164388 | Norman Farms LLC | Clinic/Center | 4220 Gauntt Rd, Covington, GA 30014-0600 | 2019-09-30 |
| 1447716980 | Derek Paul Bornhorst | Clinic/Center | 401 E 20th St, Covington, KY 41014-1583 | 2019-02-20 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on MOVING MOUNTAINS PEDIATRIC THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.