Children Are Really Active Therapy,LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHILDREN ARE REALLY ACTIVE THERAPY,LLC

Practice address

4808 Market Square LN
Midlothian, VA 23112-4826

Phone

(804) 405-6316

NPI assigned

Jun 13, 2019

Last updated

Aug 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sally Walker-Cruden, OTR/L

Title

Owner/Director/OT

Phone

(804) 405-6316

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1386203297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 MARKET SQUARE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124826",
            "telephone_number": "804-405-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 MARKET SQUARE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124826",
            "telephone_number": "804-405-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN ARE REALLY ACTIVE THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "WALKER-CRUDEN",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/OT",
        "authorized_official_telephone_number": "804-405-6316",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.