Healthcare Provider Details

I. General information

NPI: 1104774686
Provider Name (Legal Business Name): MOVEAURA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 FRANKLIN LAKE RD
FRANKLINS LAKE NJ
07417
US

IV. Provider business mailing address

1078 SUMMIT AVE UNIT 418
JERSEY CITY NJ
07307-3438
US

V. Phone/Fax

Practice location:
  • Phone: 201-414-0144
  • Fax:
Mailing address:
  • Phone: 201-414-0144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TAYLOR PSIROGIANES
Title or Position: OWNER
Credential: OTR/L, CPT
Phone: 201-414-0144