Active NPI
Minds in Motion Initiative
- Occupational Therapist
- Salem, OR
National Provider Identifier
1871253385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- MINDS IN MOTION INITIATIVE
- Practice address
- 2870 Broadway St NE
Salem, OR 97303-6500 - Phone
- (971) 374-2550
- NPI assigned
- Dec 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Corrado
- Title
- Clinical Services Director
- Phone
- (971) 374-2550
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
2870 Broadway St NE
Salem, OR 97303-6500
Mailing address
2870 Broadway St NE
Salem, OR 97303-6500
Phone (719) 374-2550
National Provider Directory
National Provider DirectoryLocations
2870 Broadway St NE
Salem, OR 97303
Phone (971) 374-2550
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Salem, OR
- NPI 1316650393
-
- Social Worker
- Kansas City, MO
- NPI 1578171310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661126400000",
"number": "1871253385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 BROADWAY ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973036500",
"telephone_number": "719-374-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2870 BROADWAY ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973036500",
"telephone_number": "971-374-2550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDS IN MOTION INITIATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-23",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A",
"authorized_official_last_name": "CORRADO",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
"authorized_official_telephone_number": "971-374-2550"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.