NPIMap

Organization Active NPI

Creative Connections, PLLC

  • Pediatric Occupational Therapist
  • Summit, MS
National Provider Identifier
1407270333
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT2003 Issued in MS
Legal business name
CREATIVE CONNECTIONS, PLLC
Practice address
4094 W Topisaw S
Summit, MS 39666-9785
Phone
(601) 606-5482
NPI assigned
Feb 12, 2014
Last updated
Feb 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Mr. Kevin E. FloydNPI 1306234570
Title
President
Phone
(601) 606-5482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT1764 MS
Pediatric Occupational Therapist 225XP0200X OT2003 MS Primary

Addresses

Primary practice location

4094 W Topisaw S
Summit, MS 39666-9785

Mailing address

4094 W Topisaw S
Summit, MS 39666-9785
Phone (601) 606-5482

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, 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": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1407270333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4094 W TOPISAW S",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669785",
            "telephone_number": "601-606-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4094 W TOPISAW S",
            "city": "SUMMIT",
            "state": "MS",
            "postal_code": "396669785",
            "telephone_number": "601-606-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CONNECTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-606-5482",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MS",
            "license": "PT1764",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MS",
            "license": "OT2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.