The Therapy Spot, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-01223 Issued in KS

Legal business name

THE THERAPY SPOT, LLC

Practice address

914 S Hillside St
Wichita, KS 67211-4001

Phone

(316) 618-1252

Fax

(316) 682-2798

NPI assigned

May 9, 2011

Organization subpart

No

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

Authorized official

Name

Sarah P Bommarito, OTR/L

Title

Manager

Phone

(316) 618-1252

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1174815161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114001",
            "telephone_number": "316-618-1252",
            "fax_number": "316-682-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672114001",
            "telephone_number": "316-618-1252",
            "fax_number": "316-682-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE THERAPY SPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "BOMMARITO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "316-618-1252",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1831209352",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.