Organization Active NPI

Ignite Therapy Solutions, L.L.C.

  • Pediatric Occupational Therapist
  • Wilmington, OH
National Provider Identifier
1386137172
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT009717 Issued in OH
Legal business name
IGNITE THERAPY SOLUTIONS, L.L.C.
Practice address
1321 Todds Fork Rd
Wilmington, OH 45177-9269
Phone
(937) 725-4150
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Miss Jacqueline Deaton, BCBANPI 1134528771
Title
Owner/Executive Director
Phone
(937) 725-4150

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
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT009717 OH Primary

Addresses

Primary practice location

1321 Todds Fork Rd
Wilmington, OH 45177-9269

Mailing address

1321 Todds Fork Rd
Wilmington, OH 45177-9269
Phone (937) 725-4150

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": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1386137172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 TODDS FORK RD",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451779269",
            "telephone_number": "937-725-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 TODDS FORK RD",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451779269",
            "telephone_number": "937-725-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE THERAPY SOLUTIONS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-725-4150",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT009717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.