Acorn Developmental Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1628 Issued in NC

Legal business name

ACORN DEVELOPMENTAL THERAPY

Practice address

206 Hermitage Rd
Greensboro, NC 27403-1401

Phone

(336) 707-3739

Fax

(336) 763-8784

NPI assigned

Mar 17, 2009

Last updated

Apr 11, 2016By 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

Ms. Ann Lindberg, OTR/L

Title

President

Phone

(336) 707-3739

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• acorn developmental therapy inc Former legal business name

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1053552323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HERMITAGE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031401",
            "telephone_number": "336-707-3739",
            "fax_number": "336-763-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HERMITAGE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031401",
            "telephone_number": "336-707-3739",
            "fax_number": "336-763-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN DEVELOPMENTAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-707-3739",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NC",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301072",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "acorn developmental therapy inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Early Intervention Provider Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.