Organization Active NPI

Move It Therapy, LLC

  • Occupational Therapist
  • Flint, MI
National Provider Identifier
1770849374
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MOVE IT THERAPY, LLC
Practice address
3499 S Linden Rd
Suite # 5
Flint, MI 48507-3022
Phone
(810) 766-9944
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Mrs. Rebecca A. Stoddard, OTRLNPI 1285903005
Title
Owner
Phone
(810) 766-9944

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: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3499 S Linden Rd
Suite # 5
Flint, MI 48507-3022

Mailing address

3499 S Linden Rd
Suite #5
Flint, MI 48507-3022
Phone (810) 766-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120629000062 MI Part B Supplier - Clinic/Group Practice 5597920314 Receives reassigned benefits from 2 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

3499 S Linden Rd
Ste 5
Flint, MI 48507
Phone (810) 691-5111

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": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1770849374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 S LINDEN RD",
            "address_2": "SUITE #5",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073022",
            "telephone_number": "810-766-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S LINDEN RD",
            "address_2": "SUITE # 5",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073022",
            "telephone_number": "810-766-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVE IT THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-766-9944",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.