NPIMap

Organization Active NPI

Kassie Peck, PLLC

Doing business as Greenhouse Pediatric Therapy

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
National Provider Identifier
1316350036
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KASSIE PECK, PLLC
Doing business as
Greenhouse Pediatric Therapy
Practice address
2033 W. Houston Street
Broken Arrow, OK 74012
Phone
(405) 537-9101
Fax
(918) 512-4823
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Kassie Ann Allison, OTR/LNPI 1750539797
Title
Owner
Phone
(918) 404-1535

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2033 W. Houston Street
Broken Arrow, OK 74012

Mailing address

2033 W Houston Street
Broken Arrow, OK 74012
Phone (405) 537-9101

Other names 1

  • Greenhouse Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2257 W Washington St
Broken Arrow, OK 74012
Phone (918) 994-7799

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1316350036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W HOUSTON STREET",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "405-537-9101",
            "fax_number": "918-512-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 W. HOUSTON STREET",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "405-537-9101",
            "fax_number": "918-512-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSIE PECK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "KASSIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-404-1535",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenhouse Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

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