NPIMap

Organization Active NPI

Occupational Pediatric Therapy Services

Doing business as Whole Child Therapy

  • Speech-Language Pathologist
  • Stow, OH
National Provider Identifier
1447205935
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
200316703282 Issued in OH
Legal business name
OCCUPATIONAL PEDIATRIC THERAPY SERVICES
Doing business as
Whole Child Therapy
Practice address
1533 Commerce Dr
Stow, OH 44224-1711
Phone
(330) 688-5555
Fax
(330) 688-9186
NPI assigned
May 23, 2006
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Sandra Breckenridge
Title
Secretary/Treasurer
Phone
(330) 688-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 200316703282 OH Primary

Addresses

Primary practice location

1533 Commerce Dr
Stow, OH 44224-1711

Mailing address

1533 Commerce Dr
Stow, OH 44224-1711
Phone (330) 688-5555

Other identifiers 1

IdentifierTypeStateIssuer
2585386MedicaidOH

Other names 1

  • Whole Child Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1533 Commerce Dr
Stow, OH 44224
Phone (330) 688-5555

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1447205935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 COMMERCE DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241711",
            "telephone_number": "330-688-5555",
            "fax_number": "330-688-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 COMMERCE DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241711",
            "telephone_number": "330-688-5555",
            "fax_number": "330-688-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "BRECKENRIDGE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "330-688-5555"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "200316703282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2585386",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Child Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.