Organization Active NPI

Freedom in Motion Therapy, LLC

  • Occupational Therapist
  • Suttons Bay, MI
National Provider Identifier
1780124578
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
FREEDOM IN MOTION THERAPY, LLC
Practice address
93B W Fourth St
Suite 4
Suttons Bay, MI 49682-8408
Phone
(231) 432-0755
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Kathleen Wainwright, OTR/L
Title
Occupational Therapist
Phone
(231) 432-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X MI Primary

Addresses

Primary practice location

93B W Fourth St
Suite 4
Suttons Bay, MI 49682-8408

Mailing address

PO Box 333
Northport, MI 49670-0333
Phone (231) 432-0755

National Provider Directory

National Provider Directory

Locations

93 W Fourth St
Ste 4
Suttons Bay, MI 49682
Phone (231) 432-0755

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1780124578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "NORTHPORT",
            "state": "MI",
            "postal_code": "496700333",
            "telephone_number": "231-432-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93B W FOURTH ST",
            "address_2": "SUITE 4",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496828408",
            "telephone_number": "231-432-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM IN MOTION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "WAINWRIGHT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "231-432-0755",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suttons Bay, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.