Child Inspired Therapies

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

CHILD INSPIRED THERAPIES

Practice address

1540 E Ridgeview Dr
Cottonwood, AZ 86326-6506

Phone

(928) 301-0762

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Glendalyne Roma, PT

Title

Owner/Physical Therapist

Phone

(928) 301-0762

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1154795755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E RIDGEVIEW DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266506",
            "telephone_number": "928-301-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E RIDGEVIEW DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266506",
            "telephone_number": "928-301-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD INSPIRED THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "ROMA",
        "authorized_official_first_name": "GLENDALYNE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "928-301-0762",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L. Cavanagh, L.P.N., L.I.S.A.C.
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• Brian Myung Chang, MD
• Cherry Family Practice, PLC
• Jennifer Christy, D.O.
• Donna Clark, LCSW
• Robert Clark
• Spencer Claussen, NP
• Ellen Elizabeth Claxton, MD

• Pediatric Physical Therapist in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Pediatric Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.