NPIMap

Organization Active NPI

Children'S Therapy Center

  • Prosthetic/Orthotic Supplier
  • Kent, WA
National Provider Identifier
1487036893
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CHILDREN'S THERAPY CENTER
Practice address
10811 SE Kent Kangley Rd
Kent, WA 98030-7108
Phone
(253) 854-5660
Fax
(253) 854-7025
NPI assigned
Jun 22, 2015
Organization subpart
Yes
Parent organization
CHILDREN'S THERAPY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Jon Botten
Title
Ceo
Phone
25832165660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WA
Prosthetic/Orthotic Supplier 335E00000X WA Primary

Addresses

Primary practice location

10811 SE Kent Kangley Rd
Kent, WA 98030-7108

Mailing address

8717 S Hosmer St
Tacoma, WA 98444-1819
Phone (253) 531-8873

Other names 1

  • Dynamic Family Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dynamic Family Services3 organizations share this tax ID, including this one
Part of
Dynamic Family Services

Other organizations with this tax ID 2

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1487036893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 S HOSMER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441819",
            "telephone_number": "253-531-8873",
            "fax_number": "253-531-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 SE KENT KANGLEY RD",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307108",
            "telephone_number": "253-854-5660",
            "fax_number": "253-854-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S THERAPY CENTER",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "BOTTEN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "25832165660"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Family Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.