Organization Active NPI

I Can Pediatric Occupational Therapy LLC

  • Pediatric Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1447936752
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
I CAN PEDIATRIC OCCUPATIONAL THERAPY LLC
Practice address
4614 Highway 280 # 1195
Birmingham, AL 35242-5028
Phone
(919) 360-6689
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Denise Dixon, OTR/LNPI 1124613526
Title
Occupational Therapy
Phone
(919) 360-6689

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: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

4614 Highway 280 # 1195
Birmingham, AL 35242-5028

Mailing address

4614 Highway 280 # 1195
Birmingham, AL 35242-5028

Other names 1

  • I Can Pediatric OT Doing business as

National Provider Directory

National Provider Directory

Locations

4614 Highway 280
#1195
Birmingham, AL 35242
Phone (919) 360-6689

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": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1447936752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 HIGHWAY 280 # 1195",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 HIGHWAY 280 # 1195",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425028",
            "telephone_number": "919-360-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CAN PEDIATRIC OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY",
        "authorized_official_telephone_number": "919-360-6689",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Can Pediatric OT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.