Organization Active NPI

Ideal Therapies, PLLC

  • Developmentally Disabled Services Day Training Agency
  • Payson, AZ
National Provider Identifier
1245629237
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
IDEAL THERAPIES, PLLC
Practice address
603 N Double Tree Cir
Payson, AZ 85541-3627
Phone
(307) 286-1777
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Erica Georges, MS, OTR/L
Title
Occupational Therapist/Owner
Phone
(307) 286-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

603 N Double Tree Cir
Payson, AZ 85541-3627

Mailing address

603 N Double Tree Cir
Payson, AZ 85541-3627
Phone (307) 286-1777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1245629237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N DOUBLE TREE CIR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855413627",
            "telephone_number": "307-286-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N DOUBLE TREE CIR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855413627",
            "telephone_number": "307-286-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL THERAPIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "GEORGES",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "307-286-1777",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

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