OrganizationActive
On the Move Occupational Therapy, PLLC
NPI 1659668986 · Pediatric Occupational Therapist · Phoenix, NY
Provider details
- NPI number
- 1659668986
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Beth Jordan, Occupational Therapist(315) 934-4459
- License
- 015186 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
219 County Route 57
Unit 20, Box 3
Phoenix, NY 13135-3300
Phone: (315) 934-4459
Fax: (315) 934-4459
Street-level locationGet directions
Mailing address
219 County Route 57
Phoenix, NY 13135-3300
Registry dates
- Enumerated
- 2011-07-07
- Last updated
- 2011-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.