Active NPI
Mindful Movements Therapy
- Pediatric Occupational Therapist
- Summit, NJ
National Provider Identifier
1316687973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- MINDFUL MOVEMENTS THERAPY
- Practice address
- 86 Tulip St
Summit, NJ 07901-3413 - Phone
- (908) 246-9610
- NPI assigned
- Mar 31, 2022
- 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
- Mrs. Taylor Suzanne Hoffman, MS, OTR/L
- Title
- Owner, Occupational Therapist
- Phone
- (908) 246-9610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
86 Tulip St
Summit, NJ 07901-3413
Mailing address
86 Tulip St
Summit, NJ 07901-3413
Phone (908) 246-9610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0450786872 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Taylor.hoffmanOT@gmail.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Staten Island, NY
- NPI 1881122505
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648684800000",
"number": "1316687973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 TULIP ST",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013413",
"telephone_number": "908-246-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 TULIP ST",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013413",
"telephone_number": "908-246-9610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL MOVEMENTS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-28",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "TAYLOR",
"authorized_official_middle_name": "SUZANNE",
"authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "908-246-9610",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0450786872",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Taylor.hoffmanOT@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "86 Tulip St",
"city": "Summit",
"state": "NJ",
"country_code": "US",
"postal_code": "079013413",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.