Provider Demographics
NPI:1932992021
Name:EMPOWERED MINDS LLC
Entity type:Organization
Organization Name:EMPOWERED MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTHOFER
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L
Authorized Official - Phone:815-508-4675
Mailing Address - Street 1:62 QUARRY WAY
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-6454
Mailing Address - Country:US
Mailing Address - Phone:815-508-4675
Mailing Address - Fax:
Practice Address - Street 1:62 QUARRY WAY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-6454
Practice Address - Country:US
Practice Address - Phone:815-508-4675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty