Through the Roof Pediatric Therapy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT0828 Issued in MS

Legal business name

THROUGH THE ROOF PEDIATRIC THERAPY

Practice address

1145 Milam LN
Hernando, MS 38632-7719

Phone

(901) 568-2240

NPI assigned

Aug 6, 2015

Last updated

Aug 6, 2015By 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

Donna B Sularin, P.T,

Title

Executive Director, P.T.

Phone

(901) 568-2240

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, and the practitioner matching its NPPES authorized official.

• Courtney Rae Purvis, OTR/L

  • Occupational Therapist
  • Grenada, MS
  • NPI 1376926998
  NPD (past)
• Alma Lidia Godoy Mata, DPT

  • Physical Therapist
  • Little Rock, AR
  • NPI 1235773607
  NPD (past)

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1225414717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 THOUSAND OAKS DR",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328914",
            "telephone_number": "901-568-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 MILAM LN",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386327719",
            "telephone_number": "901-568-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THROUGH THE ROOF PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "SULARIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, P.T.",
        "authorized_official_telephone_number": "901-568-2240",
        "authorized_official_credential": "P.T,"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MS",
            "license": "PT0828",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MS",
            "license": "OT2977",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leighanne Alexis Taylor
• Jackie H. Tentoni, RN
• Alexis Thompson
• Courtney Colotta Thompson, PHARM.D.
• Nikki Leann Thompson
• Marquita Dr Thurman, LCSW
• Cassy Alise Tigner
• Emily Pugh Tingle, DMD
• Total Wellness Specialist (Davis Family Medical & Express Care)
• Joy Delony Traylor, MA

• Pediatric Physical Therapist in Hernando, MS
• Providers in Hernando, MS by specialty
• Pediatric Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.