Sunshine Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1273 Issued in AL

Legal business name

SUNSHINE PEDIATRIC THERAPY, LLC

Practice address

2521 Woodhurst Dr SE
Huntsville, AL 35803-7900

Phone

(256) 658-3180

Fax

(256) 883-9550

NPI assigned

Dec 15, 2013

Organization subpart

No

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

Authorized official

Name

Michelle Pope Roth, OTR/L

Title

President

Phone

(256) 658-3180

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387065600000",
    "number": "1093136285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 WOODHURST DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358037900",
            "telephone_number": "256-658-3180",
            "fax_number": "256-883-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 WOODHURST DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358037900",
            "telephone_number": "256-658-3180",
            "fax_number": "256-883-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-15",
        "last_updated": "2013-12-15",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "POPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-658-3180",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Pediatric Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; 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.