Children'S Place Pediatric Therapies, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

P13476 Issued in NC

Legal business name

CHILDREN'S PLACE PEDIATRIC THERAPIES, LLC

Practice address

5760 Bunch Rd
Oak Ridge, NC 27310-9742

Phone

(336) 382-9797

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Damita Watkins-Amick, MPT, DPT

Title

Sole Member

Phone

(336) 382-9797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1083099394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 BUNCH RD",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109742",
            "telephone_number": "336-382-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 BUNCH RD",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109742",
            "telephone_number": "336-382-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PLACE PEDIATRIC THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "WATKINS-AMICK",
        "authorized_official_first_name": "DAMITA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "336-382-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MPT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NC",
            "license": "P13476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Bisbee, LCMHCA
• Megan Genevea Bradley, MSN, APRN, FNP-C
• Frank J Brown, MS, CCC-SLP
• Carolina Priority Care PLLC
• Cynthia T Carter, RPH
• Clarity Counseling Solutions, PLLC
• Olivia Irons Cleckler, MS, RD, LDN,PHARM.D.
• Karen Andrews Comeford, RPH
• Community Family Therapy
• Kip Alan Corrington, MD

• Rehabilitation Clinic/Center in Oak Ridge, NC
• Providers in Oak Ridge, NC by specialty
• Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.