Active NPI
Kids on the Move, LLC
- Developmental Disabilities Clinic/Center
- Windsor, CO
National Provider Identifier
1437487915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- 1389
- Legal business name
- KIDS ON THE MOVE, LLC
- Practice address
- 1296 Main St Unit C
Windsor, CO 80550-7903 - Phone
- (970) 590-7678
- NPI assigned
- Nov 22, 2009
- Last updated
- Nov 22, 2009
- 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. Amy Deonne Jeanneret, OTR
- Title
- Member, Occupational Therapist
- Phone
- (970) 590-7678
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | 1389 | CO | Primary |
Addresses
Primary practice location
1296 Main St Unit C
Windsor, CO 80550-7903
Mailing address
1296 Main St Unit C
Windsor, CO 80550-7903
Phone (970) 590-7678
National Provider Directory
National Provider DirectoryLocations
1296 Main St
Unit C
Windsor, CO 80550
Phone (970) 590-7678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258848000000",
"number": "1437487915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1296 MAIN ST UNIT C",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805507903",
"telephone_number": "970-590-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1296 MAIN ST UNIT C",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805507903",
"telephone_number": "970-590-7678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS ON THE MOVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-22",
"last_updated": "2009-11-22",
"status": "A",
"authorized_official_last_name": "JEANNERET",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "DEONNE",
"authorized_official_title_or_position": "MEMBER, OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "970-590-7678",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "CO",
"license": "1389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.