Organization Active NPI

On the Move Occupational Therapy, PLLC

  • Pediatric Occupational Therapist
  • Phoenix, NY
National Provider Identifier
1659668986
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Beth A Jordan, OTD, MSOTR/LNPI 1407091713
Title
Occupational Therapist
Phone
(315) 934-4459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 015186 NY Primary

Addresses

Primary practice location

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

Mailing address

219 County Route 57
Unit 20, Box 3
Phoenix, NY 13135-3300
Phone (315) 934-4459

National Provider Directory

National Provider Directory

Locations

219 County Route 57
Ste 20
Phoenix, NY 13135
Phone (315) 934-4459

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Phoenix, NY

Sources for this page

  • 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.