Beyond Limits Mobile Outpatient Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BEYOND LIMITS MOBILE OUTPATIENT THERAPY, LLC

Practice address

41 Baltusrol Dr
Charles Town, WV 25414-3884

Phone

(304) 216-2979

NPI assigned

Jan 21, 2020

Last updated

Aug 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Sue Baltusnik, OTRNPI 1609356740

Title

Owner

Phone

(304) 216-2979

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Baltusnik, OTR

  • Occupational Therapist
  • Charles Town, WV
  • NPI 1609356740
  Authorized official Same address or phone

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1093345894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BALTUSROL DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BALTUSROL DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143884",
            "telephone_number": "304-216-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND LIMITS MOBILE OUTPATIENT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "BALTUSNIK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-216-2979",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lola Barron, RN
• Michael David Baum
• Nicole Beckner, OTR/L
• Christina Benson
• Nicole Elizabeth Berryhill
• Matthew James Blazek, BCBA
• Blue Ridge Nursing, LLC (Willow Tree Healthcare Center)
• Kayla Marie Boggess, SLP
• Carolynn Boone, REGISTERED NURSE
• Christina Bouchoc

• Occupational Therapist in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Occupational Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.