Organization Active NPI

Pediatric Therapy Partners, LLC

  • Occupational Therapist
  • Lewis Center, OH
National Provider Identifier
1316214349
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-004745 Issued in OH
Legal business name
PEDIATRIC THERAPY PARTNERS, LLC
Practice address
640 Enterprise Dr
Suite C
Lewis Center, OH 43035-9440
Phone
(614) 570-1458
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Mrs. Kay Ellen Born, OTR/L
Title
Owner, Occupational Therapist
Phone
(614) 570-1458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT-004745 OH Primary

Addresses

Primary practice location

640 Enterprise Dr
Suite C
Lewis Center, OH 43035-9440

Mailing address

640 Enterprise Dr
Suite C
Lewis Center, OH 43035-9440
Phone (614) 570-1458

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1316214349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ENTERPRISE DR",
            "address_2": "SUITE C",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359440",
            "telephone_number": "614-570-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ENTERPRISE DR",
            "address_2": "SUITE C",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359440",
            "telephone_number": "614-570-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "BORN",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "614-570-1458",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-004745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.