Organization Active NPI

Minds in Motion Children'S Center LLC

  • Occupational Therapist
  • Gaithersburg, MD
National Provider Identifier
1174976732
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06575 Issued in MD
Legal business name
MINDS IN MOTION CHILDREN'S CENTER LLC
Practice address
7500 Lindbergh Dr
Unit B
Gaithersburg, MD 20879-5413
Phone
(301) 977-9393
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Mrs. Latisha Gasaway
Title
Co-Owner
Phone
(301) 977-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 06575 MD Primary

Addresses

Primary practice location

7500 Lindbergh Dr
Unit B
Gaithersburg, MD 20879-5413

Mailing address

7500 Lindbergh Dr
Unit B
Gaithersburg, MD 20879-5413
Phone (301) 977-9393

Other names 1

  • MINDS IN MOTION CHILD CARE LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Minds in Motion Children'S Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7500 Lindbergh Dr
Unit B
Gaithersburg, MD 20879
Phone (301) 977-9393

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1174976732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 LINDBERGH DR",
            "address_2": "UNIT B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795413",
            "telephone_number": "301-977-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 LINDBERGH DR",
            "address_2": "UNIT B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208795413",
            "telephone_number": "301-977-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS IN MOTION CHILDREN'S CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "GASAWAY",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "301-977-9393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINDS IN MOTION CHILD CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.