Clarksville Therapy Professionals, LLC.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

4105 Issued in TN

Legal business name

CLARKSVILLE THERAPY PROFESSIONALS, LLC.

Practice address

1552 Apache Way
Clarksville, TN 37042-8178

Phone

(931) 919-3833

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Rob Clouser

Title

Agent

Phone

(931) 919-3833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1235568858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31842",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370400031",
            "telephone_number": "931-919-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 APACHE WAY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428178",
            "telephone_number": "931-919-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE THERAPY PROFESSIONALS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "CLOUSER",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "931-919-3833"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "TN",
            "license": "4105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Early Intervention Provider Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.