NPIMap

Organization Active NPI

JLT Therapeutic Services,Inc.

  • Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1336353036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0050 Issued in AL
Legal business name
JLT THERAPEUTIC SERVICES,INC.
Practice address
4863 Hutson Ave
Birmingham, AL 35207-1215
Phone
(205) 669-7455
Fax
(205) 328-5821
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Vivian Yvonne MadisonNPI 1699989368
Title
President
Phone
(205) 669-7455

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 0050 AL Primary

Addresses

Primary practice location

4863 Hutson Ave
Birmingham, AL 35207-1215

Mailing address

4863 Hutson Ave
Birmingham, AL 35207-1215
Phone (205) 669-7455

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336353036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 HUTSON AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352071215",
            "telephone_number": "205-669-7455",
            "fax_number": "205-328-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 HUTSON AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352071215",
            "telephone_number": "205-669-7455",
            "fax_number": "205-328-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLT THERAPEUTIC SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-669-7455",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "0050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.