NPIMap

Organization Active NPI

Pediatric Place, LLC

  • Speech-Language Pathologist
  • Clinton, MO
National Provider Identifier
1437819364
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PEDIATRIC PLACE, LLC
Practice address
210 S 2ND St Ste a
Clinton, MO 64735-2172
Phone
(660) 885-2394
Fax
(660) 383-1650
NPI assigned
Dec 20, 2021
Last updated
Dec 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CHATTERBOX SPEECH THERAPY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Carmen L Rathert, SLPNPI 1447562731
Title
Co-Owner
Phone
(660) 885-2394

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

210 S 2ND St Ste a
Clinton, MO 64735-2172

Mailing address

210 S 2ND St Ste a
Clinton, MO 64735-2172
Phone (660) 885-2394

Other practice location 1

1800 W Irish Ln
Knob Noster, MO 65336-1020
Phone (660) 687-0187

Other names 2

  • Chatterbox Speech Therapy, LLC Former legal business name
  • Child's Play Therapy, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Place LLC4 organizations share this tax ID, including this one
Part of
Chatterbox Speech Therapy LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1800 W Irish Ln
Knob Noster, MO 65336
Phone (660) 687-0187

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1437819364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST STE A",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352172",
            "telephone_number": "660-885-2394",
            "fax_number": "660-383-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 2ND ST STE A",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352172",
            "telephone_number": "660-885-2394",
            "fax_number": "660-383-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W Irish Ln",
            "address_purpose": "LOCATION",
            "city": "Knob Noster",
            "state": "MO",
            "postal_code": "653361020",
            "country_code": "US",
            "telephone_number": "660-687-0187",
            "fax_number": "660-687-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC PLACE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATTERBOX SPEECH THERAPY, LLC",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "RATHERT",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "660-885-2394",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatterbox Speech Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Child's Play Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.