Organization Active NPI

Living Therapeutically

  • Developmentally Disabled Services Day Training Agency
  • Pensacola, FL
National Provider Identifier
1407369655
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
RN9420644 Issued in FL
Legal business name
LIVING THERAPEUTICALLY
Practice address
301 E Moreno St
Pensacola, FL 32503-5257
Phone
(850) 450-6074
NPI assigned
Nov 9, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Tjuana Y McNeilly, REGISTERED NURSENPI 1124539739
Title
Ceo/Owner
Phone
(850) 450-6074

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
Developmentally Disabled Services Day Training Agency 251C00000X RN9420644 FL Primary

Addresses

Primary practice location

301 E Moreno St
Pensacola, FL 32503-5257

Mailing address

301 E Moreno St
Pensacola, FL 32503-5257
Phone (850) 450-6074

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": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1407369655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325035257",
            "telephone_number": "850-450-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325035257",
            "telephone_number": "850-450-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING THERAPEUTICALLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "MCNEILLY",
        "authorized_official_first_name": "TJUANA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "850-450-6074",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "RN9420644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.