Healthcare Provider Details

I. General information

NPI: 1477429793
Provider Name (Legal Business Name): WHITNEY MUSSELMAN INC DBA MOVE WITH ME PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 S 6TH ST
SPRINGFIELD IL
62703-3459
US

IV. Provider business mailing address

1640 N 3RD ST
SPRINGFIELD IL
62702-2606
US

V. Phone/Fax

Practice location:
  • Phone: 217-502-4614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY MUSSELMAN
Title or Position: OCCUPATIONAL THERAPIST/OWNER
Credential:
Phone: 217-502-4614