Active NPI
Move Fullest LLC
- Physical Rehabilitation Occupational Therapist
- Cresskill, NJ
National Provider Identifier
1225665490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- Legal business name
- MOVE FULLEST LLC
- Practice address
- 12 Chestnut St
Cresskill, NJ 07626-2513 - Phone
- (269) 274-6956
- NPI assigned
- Mar 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsey Butkus, OTRL
- Title
- Owner/Occupational Therapist
- Phone
- (269) 274-6956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | Primary |
Addresses
Primary practice location
12 Chestnut St
Cresskill, NJ 07626-2513
Mailing address
12 Chestnut St
Cresskill, NJ 07626-2513
Phone (269) 274-6956
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643068800000",
"number": "1225665490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CHESTNUT ST",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076262513",
"telephone_number": "269-274-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 CHESTNUT ST",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076262513",
"telephone_number": "269-274-6956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVE FULLEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-26",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A",
"authorized_official_last_name": "BUTKUS",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "269-274-6956",
"authorized_official_credential": "OTRL"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cresskill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.