Imagination Therapy PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IMAGINATION THERAPY PLLC

Practice address

5856 Faringdon PL Ste 1
Raleigh, NC 27609-4586

Phone

(919) 324-1881

Fax

(919) 324-1781

NPI assigned

Feb 9, 2010

Last updated

Jan 14, 2011By 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

Sunita Murty-Gami, MS OTRL ITFS

Title

Manager Occupational Therapist

Phone

(919) 324-1881

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Imagination Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imagination Therapy PLLC

  • Occupational Therapist
  • Raleigh, NC
  • NPI 1407039894
  NPD tax ID

Locations

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1225360746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 FARINGDON PL STE 1",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094586",
            "telephone_number": "919-324-1881",
            "fax_number": "919-324-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5856 FARINGDON PL STE 1",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094586",
            "telephone_number": "919-324-1881",
            "fax_number": "919-324-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINATION THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "MURTY-GAMI",
        "authorized_official_first_name": "SUNITA",
        "authorized_official_title_or_position": "MANAGER OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "919-324-1881",
        "authorized_official_credential": "MS OTRL ITFS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8303115K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Iles, RD
• Simona A Ilizarov, PA-C
• Mindi McLaurin Illig, PT
• Ifeoma Charity Ilodigwe, PMHNP-BC
• Anita Somto Ilonze
• Imagination Therapy PLLC
• Matthew Edward Imbrogno, DMD, MSD
• Progress-Jehosheba Ime, MPH
• Erfan Imeni Kashani, D.D.S.
• Lisa Michelle Imhof

• Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.