Organization Active NPI

Tandem Pediatric Therapies

  • Clinic/Center
  • Brentwood, TN
National Provider Identifier
1043939598
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TANDEM PEDIATRIC THERAPIES
Practice address
7115 Southpoint Pkwy Ste 5107
Brentwood, TN 37027-2005
Phone
(419) 494-2545
NPI assigned
Aug 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Rebecca Rae
Title
Clinic Owner/Founder
Phone
(419) 494-2545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

7115 Southpoint Pkwy Ste 5107
Brentwood, TN 37027-2005

Mailing address

7115 Southpoint Pkwy Ste 5107
Brentwood, TN 37027-2005
Phone (419) 494-2545

Other names 1

  • Thrive Pediatric Therapies Former legal business name

National Provider Directory

National Provider Directory

Locations

7115 Southpoint Pkwy
Ste 5107
Brentwood, TN 37027
Phone (419) 494-2545

Practitioners & affiliated clinicians

Practitioners 1

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": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1043939598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 SOUTHPOINT PKWY STE 5107",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272005",
            "telephone_number": "419-494-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 SOUTHPOINT PKWY STE 5107",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272005",
            "telephone_number": "419-494-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANDEM PEDIATRIC THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CLINIC OWNER/FOUNDER",
        "authorized_official_telephone_number": "419-494-2545"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Pediatric Therapies",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.