NPIMap

Organization Active NPI

Gaston Therapy, LLC

Doing business as Center for Pediatric Therapy

  • Pediatric Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1437357456
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
377 Issued in TN
Legal business name
GASTON THERAPY, LLC
Doing business as
Center for Pediatric Therapy
Practice address
112 Jordan Dr
Chattanooga, TN 37421-6802
Phone
(423) 468-4060
Fax
(423) 468-4069
NPI assigned
Jul 11, 2007
Last updated
Mar 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Mrs. Melody Clements Gaston, OTR/L
Title
Chief Manager
Phone
(423) 486-4060

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2774 TN
Clinical Social Worker 1041C0700X
Pediatric Physical Therapist 2251P0200X 1422 TN
Pediatric Physical Therapist 2251P0200X 2655 TN
Pediatric Occupational Therapist 225XP0200X 2796 TN
Pediatric Occupational Therapist 225XP0200X 377 TN Primary

Addresses

Primary practice location

112 Jordan Dr
Chattanooga, TN 37421-6802

Mailing address

112 Jordan Dr
Chattanooga, TN 37421-6802
Phone (423) 468-4060

Other names 1

  • Center for Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

112 Jordan Dr
Chattanooga, TN 37421
Phone (423) 468-4060

Practitioners & affiliated clinicians

Practitioners 4

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1437357456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216802",
            "telephone_number": "423-468-4060",
            "fax_number": "423-468-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JORDAN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216802",
            "telephone_number": "423-468-4060",
            "fax_number": "423-468-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "CLEMENTS",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-486-4060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "1422",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "2655",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "2796",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.