Innovative Pediatric Partners

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

OC006913L Issued in PA

Legal business name

INNOVATIVE PEDIATRIC PARTNERS

Practice address

906 Princeton Dr
MC Donald, PA 15057-2681

Phone

(412) 491-1654

Fax

(412) 257-3341

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Kimberly Parkes, MOT, OTR/L

Title

President/Owner

Phone

(412) 491-1654

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1215128426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PRINCETON DR",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150572681",
            "telephone_number": "412-491-1654",
            "fax_number": "412-257-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 PRINCETON DR",
            "city": "MC DONALD",
            "state": "PA",
            "postal_code": "150572681",
            "telephone_number": "412-491-1654",
            "fax_number": "412-257-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PEDIATRIC PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "PARKES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "412-491-1654",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": "OC006913L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Gilbert, SLP
• James Lloyd Goodge IV, DC
• David R Hanne, MA
• Amanda Katherine Howard, LPC, MSED, NCC
• Hypnosis412
• Emily Johnson, PA-C
• Julie a Blunkosky LCSW
• Jill Nicole Kelley, RPH
• Armando Carmen Lardieri, D.M.D.
• Corrina Leonard, PHARMD

• Developmentally Disabled Services Day Training Agency in McDonald, PA
• Providers in McDonald, PA by specialty
• Developmentally Disabled Services Day Training Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.