Therapy Innovations, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THERAPY INNOVATIONS, INC

Practice address

108 Commerce Ave
Cleveland, MS 38732-2736

Phone

(662) 843-2339

Fax

(662) 846-1397

NPI assigned

Sep 25, 2006

Last updated

Oct 13, 2009By 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

Mrs. Tracy Marie Blackstock, PTNPI 1932256641

Title

Vice President

Phone

(662) 843-2339

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Tracy Marie Blackstock

  • Physical Therapist
  • Cleveland, MS
  • NPI 1932256641
  NPD (past) Authorized official
• Elizabeth Robertson Laney, AU.D.

  • Audiologist
  • Clarksdale, MS
  • NPI 1073678249
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1275633588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COMMERCE AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322736",
            "telephone_number": "662-843-2339",
            "fax_number": "662-846-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COMMERCE AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322736",
            "telephone_number": "662-843-2339",
            "fax_number": "662-846-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY INNOVATIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "BLACKSTOCK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "662-843-2339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03202536",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04031891",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Wayne Taylor, ED.D
• Tender Loving Care
• Mary Morgan Tharp, M.ED.
• The Elegant Home Care Company LLC
• The Medical Technology Institute
• Tibbs Clinic
• Robert C Tibbs III, M.D.
• Brooke Nicole Tims, RN, CFNP
• Raanne Tindle, DMD
• TLL&W Inc Dba Buckleys Pharmacy (Buckleys Pharmacy)

• Speech-Language Pathologist in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.