Teal Pediatric Therapy PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

TEAL PEDIATRIC THERAPY PLLC

Practice address

101 E Center St
Mebane, NC 27302-2431

Phone

(336) 408-8424

NPI assigned

Feb 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. David Barrett

Title

Manager

Phone

(336) 408-8424

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Barrett, M.S, OTR/L

  • Pediatric Occupational Therapist
  • Mebane, NC
  • NPI 1881003523

  Pediatrics

  NPD (past)
• Avery Brown

  • Pediatric Occupational Therapist
  • Mebane, NC
  • NPI 1083163299

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1063802593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E CENTER ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022431",
            "telephone_number": "336-408-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E CENTER ST",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273022431",
            "telephone_number": "336-408-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAL PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-408-8424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Stonebraker, LCAS, LCMHC-A
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• Helen Tackitt, NP
• Jan Mallory Tate, LCSW, MED, CSOTP
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• Thome & Yoo DDS PLLC
• Seleka Thompson
• Bruce Robert Thomson, PHD

• Occupational Therapist in Mebane, NC
• Providers in Mebane, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.