Active NPI
Children'S Therapy Services
- Occupational Therapist
- Iuka, MS
National Provider Identifier
1457426918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1721
- Legal business name
- CHILDREN'S THERAPY SERVICES
- Practice address
- 164B County Road 363
Iuka, MS 38852-7057 - Phone
- (662) 279-2523
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angela O'Neill Sparks, OTRL
- Title
- Owner
- Phone
- (662) 279-2523
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1721 | MS | Primary |
Addresses
Primary practice location
164B County Road 363
Iuka, MS 38852-7057
Mailing address
164B County Road 363
Iuka, MS 38852-7057
Phone (662) 279-2523
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Dawsonville, GA
- NPI 1134293368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359936000000",
"number": "1457426918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164B COUNTY ROAD 363",
"city": "IUKA",
"state": "MS",
"postal_code": "388527057",
"telephone_number": "662-279-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164B COUNTY ROAD 363",
"city": "IUKA",
"state": "MS",
"postal_code": "388527057",
"telephone_number": "662-279-2523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2013-02-04",
"status": "A",
"authorized_official_last_name": "SPARKS",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "O'NEILL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-279-2523",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTRL"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT1721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.