On the Move Occupational Therapy, PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

015186 Issued in NY

Legal business name

ON THE MOVE OCCUPATIONAL THERAPY, PLLC

Practice address

219 County Route 57
Unit 20, Box 3
Phoenix, NY 13135-3300

Phone

(315) 934-4459

Fax

(315) 934-4459

NPI assigned

Jul 7, 2011

Organization subpart

No

Name

Dr. Beth A Jordan, OTD, MSOTR/LNPI 1407091713

Title

Occupational Therapist

Phone

(315) 934-4459

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

• Beth Jordan, OTD, MSOTR

  • Pediatric Occupational Therapist
  • Phoenix, NY
  • NPI 1407091713

  Pediatrics

  NPD (past) Authorized official
• Cindy E. Ayo, OTD, OTR/L

  • Occupational Therapist
  • Oak Ridge, TN
  • NPI 1083778757
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2011.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1659668986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 COUNTY ROUTE 57",
            "address_2": "UNIT 20, BOX 3",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131353300",
            "telephone_number": "315-934-4459",
            "fax_number": "315-934-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 COUNTY ROUTE 57",
            "address_2": "UNIT 20, BOX 3",
            "city": "PHOENIX",
            "state": "NY",
            "postal_code": "131353300",
            "telephone_number": "315-934-4459",
            "fax_number": "315-934-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE MOVE OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "315-934-4459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Judith Moore, LPN
• Anne-Marie Elizabeth Muller, LCSW
• Northern Oswego County Health Services, Inc.
• Anna E Oliver
• Omar Guesmia DDS. PC
• Oswego Valley Pharmacy, Inc.
• Scott Matthew Palocy, LPN
• Crystal Lynn Parkhurst, RN
• Mikayla Rochelle Pastorino
• Gina Marie Perkins, R.N.

• All providers in Phoenix, NY
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.