Organization Active NPI

Insight Therapy Services, LLC

  • Occupational Therapist
  • Valdosta, GA
National Provider Identifier
1043409683
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004574 Issued in GA
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

Updated by the provider on Oct 19, 2007

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20080226000417 GA Part B Supplier - Clinic/Group Practice 1153405477 Receives reassigned benefits from 2 practitioners
Practice locations: Valdosta, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.