Dandelion Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

DANDELION PEDIATRIC THERAPY, LLC

Practice address

125 Stillhouse Creek Dr
Madison, MS 39110-6943

Phone

(601) 826-2609

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By 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

Mrs. Ashley Nicole Buck, MS, OTR/L

Title

Sole Member

Phone

(601) 826-2609

Specialties & licenses 7

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: info@dandelionpediatrictherapy.com

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.

• Ashley Nicole Parsons, MS, OTR

  • Occupational Therapist
  • Madison, MS
  • NPI 1417491507

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1053080382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391300415",
            "telephone_number": "601-826-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 STILLHOUSE CREEK DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106943",
            "telephone_number": "601-826-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDELION PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "601-826-2609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dandelionpediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Stillhouse Creek Dr",
            "city": "Madison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391106943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• CRX Medical Group LLC (CRX Medical)
• John Dooley Culbertson, MD
• Erin Elizabeth Curran, PA-C
• Anne Marie Currie Hreish
• Summer Curry
• Martha Rainey Daniels, PMHNP-BC
• Alexis Davis, LIFESTYLE COACH
• Kimberly F Davis, NP-C
• Zachery Hunter Davis, PHARMD
• Sydney Dawkins, FNP

• Pediatric Occupational Therapist in Madison, MS
• Providers in Madison, MS by specialty
• Pediatric Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.