Organization Active NPI

Success in Motion Therapy LLC

  • Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1043505472
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SUCCESS IN MOTION THERAPY LLC
Practice address
2637 27TH Ave S
Suite 212
Minneapolis, MN 55406-1565
Phone
(612) 250-5097
Fax
(612) 823-0208
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Naomi Siegal, OTR/L
Title
Owner
Phone
(612) 250-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2637 27TH Ave S
Suite 212
Minneapolis, MN 55406-1565

Mailing address

2637 27TH Ave S
Suite 212
Minneapolis, MN 55406-1565
Phone (612) 250-5097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1043505472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S",
            "address_2": "SUITE 212",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061565",
            "telephone_number": "612-250-5097",
            "fax_number": "612-823-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 27TH AVE S",
            "address_2": "SUITE 212",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061565",
            "telephone_number": "612-250-5097",
            "fax_number": "612-823-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS IN MOTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "SIEGAL",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-250-5097",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.