Active Bodyz Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ACTIVE BODYZ THERAPY SERVICES LLC

Practice address

12 Money Hill Road
Chepachet, RI 02814

Phone

(401) 394-9019

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann M Mulligan, OTD, OTR/LNPI 1275229643

Title

Owner

Phone

(401) 394-9019

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ann Mulligan, OTD, MSOT, OTR/L

  • Occupational Therapist
  • Chepachet, RI
  • NPI 1275229643
  NPD Authorized official

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1760162333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 W IRONSTONE RD",
            "city": "BURRILLVILLE",
            "state": "RI",
            "postal_code": "028301626",
            "telephone_number": "401-258-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MONEY HILL ROAD",
            "city": "CHEPACHET",
            "state": "RI",
            "postal_code": "02814",
            "telephone_number": "401-394-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE BODYZ THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-394-9019",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Essam Abdalla I, CERTIFIED PHLEBOTOMI
• Advanced Behavioral Consultation, LLC
• Leslie V. Alonzo, FNP
• Paul F. Barry, MSW
• Gianna Benedetti, MS
• Monica Anna Blanchette, LMHC, RDT, APS

• Occupational Therapist in Chepachet, RI
• Providers in Chepachet, RI by specialty
• Occupational Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.