Movement Optimization Therapy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MOVEMENT OPTIMIZATION THERAPY LLC

Practice address

37160 Dickerson Run
Severance, CO 80550-8403

Phone

(970) 690-6696

Fax

(970) 449-0525

NPI assigned

Nov 10, 2021

Organization subpart

No

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

Authorized official

Name

Kayla B Bach, MOTR/LNPI 1114106382

Title

Occupational Therapist/Owner

Phone

(970) 690-6696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Kayla Brie Bach, MOTR/L

  • Occupational Therapist
  • Severance, CO
  • NPI 1114106382

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1083370407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37160 DICKERSON RUN",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805508403",
            "telephone_number": "970-690-6696",
            "fax_number": "970-449-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37160 DICKERSON RUN",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805508403",
            "telephone_number": "970-690-6696",
            "fax_number": "970-449-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEMENT OPTIMIZATION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "970-690-6696",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brooke Denise Lee, LPC, CAC III, M.ED
• Bailey Lehman
• Marty Melland
• Michael Noel Jr., RN
• Otero Care Transport LLC
• Brooke Nicolle Papstein, OTR/L
• Aaron Powell, LCSW
• Nicole Renae Ricks, MS, BCBA

• All providers in Severance, CO
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.