Organization Active NPI

First Class Pediatrics PLLC

  • Pediatric Occupational Therapist
  • Shelby, NC
National Provider Identifier
1427890789
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
FIRST CLASS PEDIATRICS PLLC
Practice address
112 Oak Crossing Dr
Shelby, NC 28152-1010
Phone
(704) 476-9925
NPI assigned
Jun 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Authorized official

Name
Jada Nicole Leslie JohnsonNPI 1821614249
Title
Owner /Occupational Therapist
Phone
(704) 476-9925

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 Primary

Addresses

Primary practice location

112 Oak Crossing Dr
Shelby, NC 28152-1010

Mailing address

112 Oak Crossing Dr
Shelby, NC 28152-1010

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": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1427890789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 OAK CROSSING DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281521010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OAK CROSSING DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281521010",
            "telephone_number": "704-476-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JADA",
        "authorized_official_middle_name": "NICOLE LESLIE",
        "authorized_official_title_or_position": "OWNER /OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "704-476-9925"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.