Mindful Movement Therapies LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

MINDFUL MOVEMENT THERAPIES LLC

Doing business as

Mindful Movement Therapies

Practice address

4407 SW Stephenson St
Portland, OR 97219-7107

Phone

(503) 720-4634

Fax

(844) 250-7399

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Austen Raia Lincoln, OTR/LNPI 1336555119

Title

Owner

Phone

(503) 720-4634

Specialties & licenses 1

Addresses

Other names 1

• Mindful Movement Therapies Doing business as

Practitioners 1

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

• Austen Lincoln, OTR/L

  • Pediatric Occupational Therapist
  • Portland, OR
  • NPI 1336555119

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1972145670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 SW STEPHENSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197107",
            "telephone_number": "503-720-4634",
            "fax_number": "844-250-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 SW STEPHENSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197107",
            "telephone_number": "503-720-4634",
            "fax_number": "844-250-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOVEMENT THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "AUSTEN",
        "authorized_official_middle_name": "RAIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-720-4634",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Movement Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindful Health Northwest LLC
• Mindful Kinetics LLC
• Mindful Medicine, PC
• Mindful Mental and Behavioral Health PLLC
• Mindful Movement Rehabilitation LLC
• Mindful One Wellness Solutions
• Mindful Path
• Mindful Steps Therapy
• Mindful Therapy Pacific NW, LLC
• Mindful Therapy PDX PC

• Pediatric Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.