Pediatric Physical Therapy & Services, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PEDIATRIC PHYSICAL THERAPY & SERVICES, INC.

Practice address

524 Kentucky St
San Luis Obispo, CA 93405-1913

Phone

(805) 772-6014

Fax

(805) 772-8246

NPI assigned

Aug 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Julie Y Loe, MA, ECSENPI 1598997355

Title

Executive Director

Phone

(805) 772-6014

Specialties & licenses 3

Addresses

Practitioners 2

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

• Julie Y Loe, MA, ECSE

  • Physical Therapy Assistant
  • San Luis Obispo, CA
  • NPI 1598997355
  NPD (past) Authorized official
• Brittany M Loe, MA, OTR/L

  • Pediatric Occupational Therapist
  • San Luis Obispo, CA
  • NPI 1881928166
  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1093947848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 IRONWOOD AVE",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934421755",
            "telephone_number": "805-772-6014",
            "fax_number": "805-772-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 KENTUCKY ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051913",
            "telephone_number": "805-772-6014",
            "fax_number": "805-772-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICAL THERAPY & SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "LOE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "805-772-6014",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, ECSE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Grace Peavy, LCSW
• Madeleine Pechner
• Carl Curtis Peck, M.D.
• Jac W Pedersen II, D.D.S.
• Sarah Pedersen, MA, RBT, BCBA
• Jacob Pedler
• Christopher R Peinado, MD
• Michelle Pellegrin
• Dianne Pelletier
• Teresa Marie Pemberton, LMFT

• Early Intervention Provider Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.