NPIMap

Organization Active NPI

The Developmental Advantage, LLC

  • Developmental Therapist
  • Cross Lanes, WV
National Provider Identifier
1376919241
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
THE DEVELOPMENTAL ADVANTAGE, LLC
Practice address
12 Killen Hollow Dr
Cross Lanes, WV 25313-3516
Phone
(304) 881-2585
NPI assigned
Aug 14, 2015
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Cathy Jo Higgins
Title
Owner
Phone
(304) 881-2585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1125 WV

Addresses

Primary practice location

12 Killen Hollow Dr
Cross Lanes, WV 25313-3516

Mailing address

PO Box 7533
Charleston, WV 25356-0533
Phone (304) 881-2585

National Provider Directory

National Provider Directory
Tax ID family
The Developmental Advantage LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1376919241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7533",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253560533",
            "telephone_number": "304-881-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KILLEN HOLLOW DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253133516",
            "telephone_number": "304-881-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVELOPMENTAL ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-881-2585"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cross Lanes, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.