Leaps & Bounds Developmental Therapy Services LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LEAPS & BOUNDS DEVELOPMENTAL THERAPY SERVICES LLC

Practice address

9445 Indianapolis Blvd # 1223
Highland, IN 46322-2648

Phone

(773) 971-2230

NPI assigned

Aug 15, 2023

Last updated

Aug 15, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise Michelle MangrumNPI 1164142212

Title

Owner/Developmental Therapist

Phone

(773) 971-2230

Specialties & licenses 1

Addresses

Other names 1

• Leaps & Bounds DevelopmentalTherapy Services llc Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denise Michelle Mangrum, DT

  • Developmental Therapist
  • Park Forest, IL
  • NPI 1164142212
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1003699067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9445 INDIANAPOLIS BLVD # 1223",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222648",
            "telephone_number": "773-971-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 INDIANAPOLIS BLVD # 1223",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222648",
            "telephone_number": "773-971-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS & BOUNDS DEVELOPMENTAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "MANGRUM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "773-971-2230"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leaps & Bounds DevelopmentalTherapy Services llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rosalind M Langston, CPT
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• Virginia Latta
• Laura G. Fletes, D.D.S., P.C.
• Angela Lebeter
• Briana Lee
• Sheldon R Lewis, M.D.
• Roger L Liggett, OD
• Light of Hope Wellness and Counseling (Light of Hope Wellness and Consultation)

• Early Intervention Provider Agency in Highland, IN
• Providers in Highland, IN by specialty
• Early Intervention Provider Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.