Active NPI
Mid-America Therapy Services, LLC
- Local Education Agency (LEA)
- Town and Country, MO
National Provider Identifier
1053551911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- 2007003917
- Legal business name
- MID-AMERICA THERAPY SERVICES, LLC
- Practice address
- 14360 South Outer Forty
Town and Country, MO 63017 - Phone
- (314) 434-5410
- Fax
- (314) 431-5640
- NPI assigned
- Mar 4, 2009
- Last updated
- Mar 4, 2009
- 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
- Marla Shyken
- Title
- Occupational Therapist Manager
- Phone
- (314) 434-5410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 2007003917 | MO | Primary |
Addresses
Primary practice location
14360 South Outer Forty
Town and Country, MO 63017
Mailing address
14360 S Outer 40
Town and Country, MO 63017-5710
Phone (314) 434-5640
National Provider Directory
National Provider Directory- Tax ID family
- Mid-America Therapy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Town and Country, MO
- NPI 1730314204
Locations
14360 South Outer 40 Rd
Town and Country, MO 63017
Phone (314) 434-5410
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Pediatric Occupational Therapist
- Chesterfield, MO
- NPI 1568039584
-
- Speech-Language Pathologist
- Chesterfield, MO
- NPI 1407429392
-
- Pediatric Occupational Therapist
- Wentzville, MO
- NPI 1134525942
-
- Occupational Therapist
- Town and Country, MO
- NPI 1366076697
-
- Speech-Language Pathologist
- Town and Country, MO
- NPI 1588061816
-
- Occupational Therapist
- Town and Country, MO
- NPI 1285885251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236124800000",
"number": "1053551911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14360 S OUTER 40",
"city": "TOWN AND COUNTRY",
"state": "MO",
"postal_code": "630175710",
"telephone_number": "314-434-5640",
"fax_number": "314-431-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14360 SOUTH OUTER FORTY",
"city": "TOWN AND COUNTRY",
"state": "MO",
"postal_code": "63017",
"telephone_number": "314-434-5410",
"fax_number": "314-431-5640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-AMERICA THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-04",
"last_updated": "2009-03-04",
"status": "A",
"authorized_official_last_name": "SHYKEN",
"authorized_official_first_name": "MARLA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST MANAGER",
"authorized_official_telephone_number": "314-434-5410"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "MO",
"license": "2007003917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Town and Country, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.