Organization Active NPI

Move Mindfully, LLC

  • Occupational Therapist
  • Portland, TX
National Provider Identifier
1740150804
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MOVE MINDFULLY, LLC
Practice address
1535 Wildcat Dr Apt D
Portland, TX 78374-2845
Phone
(361) 437-9673
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Marisa Barra, OTRNPI 1033984943
Title
Owner/Occupational Therapist
Phone
(361) 437-9673

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1535 Wildcat Dr Apt D
Portland, TX 78374-2845

Mailing address

910 E Market St
Sinton, TX 78387-2921

National Provider Directory

National Provider Directory

Locations

1535 Wildcat Dr
Apt D
Portland, TX 78374
Phone (361) 413-0026

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1740150804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E MARKET ST",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783872921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 WILDCAT DR APT D",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742845",
            "telephone_number": "361-437-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE MINDFULLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "BARRA",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "361-437-9673",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.