Organization Active NPI

Imagination Station Therapy, PLLC

  • Occupational Therapist
  • Marshall, NC
National Provider Identifier
1306562467
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
IMAGINATION STATION THERAPY, PLLC
Practice address
91 Lindsay LN
Marshall, NC 28753-5599
Phone
(304) 550-7295
Fax
(800) 686-9093
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Shanna Hughes Carter, OTR/LNPI 1033583828
Title
OT/Owner
Phone
(304) 550-7295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

91 Lindsay LN
Marshall, NC 28753-5599

Mailing address

91 Lindsay LN
Marshall, NC 28753-5599
Phone (304) 550-7295

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1306562467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 LINDSAY LN",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287535599",
            "telephone_number": "304-550-7295",
            "fax_number": "800-686-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 LINDSAY LN",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287535599",
            "telephone_number": "304-550-7295",
            "fax_number": "800-686-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINATION STATION THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "OT/OWNER",
        "authorized_official_telephone_number": "304-550-7295",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.