Healthcare Provider Details

I. General information

NPI: 1306709969
Provider Name (Legal Business Name): SUNSHINE MOVEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 E PEAKVIEW AVE APT 358
CENTENNIAL CO
80111-6873
US

IV. Provider business mailing address

7700 E PEAKVIEW AVE APT 358
CENTENNIAL CO
80111-6873
US

V. Phone/Fax

Practice location:
  • Phone: 651-728-3076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. SYDNEY M BORYS
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTD, OTR/L
Phone: 651-728-3076