Therapy Station, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT2225 Issued in CA

Legal business name

THERAPY STATION, INC.

Practice address

1784 California St
Redding, CA 96001-1905

Phone

(530) 242-1511

Fax

(530) 242-1611

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey A Neill-Wiseman, MA, OTR

Title

Occupational Therapist

Phone

(530) 242-1511

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255420253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 CALIFORNIA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011905",
            "telephone_number": "530-242-1511",
            "fax_number": "530-242-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 CALIFORNIA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011905",
            "telephone_number": "530-242-1511",
            "fax_number": "530-242-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY STATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEILL-WISEMAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "530-242-1511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, OTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Pain Management Medical Clinic
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• Thomas J Andrews MD Inc
• Thomas W Mullen DDS Inc

• Specialist in Redding, CA
• Providers in Redding, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.