Pro-Kids Therapy Center PC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PRO-KIDS THERAPY CENTER PC

Practice address

3010 E State Blvd
Fort Wayne, IN 46805-4700

Phone

(260) 463-5528

NPI assigned

Feb 23, 2008

Organization subpart

No

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

Authorized official

Name

Donna Sue Duty, OTR

Title

Registered Occupational Therapist

Phone

(260) 463-5528

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1326217332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 S STATE ROAD 9",
            "city": "WOLCOTTVILLE",
            "state": "IN",
            "postal_code": "467959278",
            "telephone_number": "260-463-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054700",
            "telephone_number": "260-463-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-KIDS THERAPY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-23",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "DUTY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "REGISTERED OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "260-463-5528",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.