Live, Learn, Grow - Pediatric Therapy Solutions, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LIVE, LEARN, GROW - PEDIATRIC THERAPY SOLUTIONS, LLC

Practice address

906 Tetbury PL
Brandon, MS 39047-9274

Phone

(662) 820-8732

Fax

(601) 202-9606

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Jessica Nichols, OTNPI 1245428812

Title

Owner

Phone

(662) 820-8732

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Nichols, OT

  • Occupational Therapist
  • Brandon, MS
  • NPI 1245428812
  NPD (past) Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1255005203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 TETBURY PL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390479274",
            "telephone_number": "662-820-8732",
            "fax_number": "601-202-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 TETBURY PL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390479274",
            "telephone_number": "662-820-8732",
            "fax_number": "601-202-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE, LEARN, GROW - PEDIATRIC THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-820-8732",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Lindsey, M.S, CCC-SLP
• Mary Lirette, PMHNP-BC
• Morgan Autumn Littich, RD, LD
• Little Chatterbox Speech-Language & Hearing Solutions, LLC
• Dawn Louise Little, LMT
• Mark Allen Livingston, P.T.
• LL Counseling Services
• Martha Cook Lloyd, M.S.
• Matthew Logue
• Benjamin Long, ATC

• Occupational Therapist in Brandon, MS
• Providers in Brandon, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.