Active NPI
Insight Therapy Services, LLC
- Occupational Therapist
- Valdosta, GA
National Provider Identifier
1043409683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004574
- Legal business name
- INSIGHT THERAPY SERVICES, LLC
- Practice address
- 2108 N Patterson St
Valdosta, GA 31602-2947 - Phone
- (229) 244-3000
- Fax
- (229) 244-1934
- NPI assigned
- Oct 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Adrienne Healey Broadfoot, OTR/L
- Title
- Owner, Occupational Therapist
- Phone
- (229) 244-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004574 | GA | Primary |
Addresses
Primary practice location
2108 N Patterson St
Valdosta, GA 31602-2947
Mailing address
906 Pineridge Dr
Valdosta, GA 31602-2333
Phone (229) 244-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2407 Andover Dr
Ste B
Valdosta, GA 31602
Phone (229) 247-0038
305 University Dr
Ste 2
Valdosta, GA 31602
Phone (229) 247-0038
201 W Park Ave
Valdosta, GA 31602
Phone (229) 249-0666
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Valdosta, GA
- NPI 1114874708
-
- Occupational Therapist
- Valdosta, GA
- NPI 1699715987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192752000000",
"number": "1043409683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 PINERIDGE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022333",
"telephone_number": "229-244-3000",
"fax_number": "229-244-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022947",
"telephone_number": "229-244-3000",
"fax_number": "229-244-1934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-19",
"last_updated": "2007-10-19",
"status": "A",
"authorized_official_last_name": "BROADFOOT",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "HEALEY",
"authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "229-244-3000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.