Organization Active NPI

Pat'S Pals Therapy Ranch

  • Rehabilitation Clinic/Center
  • Plainfield, IN
National Provider Identifier
1093388985
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PAT'S PALS THERAPY RANCH
Practice address
5422 E County Road 600 S
Plainfield, IN 46168-8638
Phone
(317) 837-1417
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Alexandria Watkins, OTD, OTR
Title
Occupational Therapist
Phone
(317) 837-1417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5422 E County Road 600 S
Plainfield, IN 46168-8638

Mailing address

5422 E County Road 600 S
Plainfield, IN 46168-8638

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@patspals.org Direct

National Provider Directory

National Provider Directory

Locations

5422 E County Road 600 S
Plainfield, IN 46168
Phone (317) 836-5484

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1093388985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 E COUNTY ROAD 600 S",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 E COUNTY ROAD 600 S",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688638",
            "telephone_number": "317-837-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT'S PALS THERAPY RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "317-837-1417",
        "authorized_official_credential": "OTD, OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@patspals.org",
            "affiliation": "N",
            "endpointDescription": "desktops, laptops",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5422 E County Road 600 S",
            "city": "Plainfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461688638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.