J & J Pediatric Therapies LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

J & J PEDIATRIC THERAPIES LLC

Practice address

7257 Stones River Dr
Indianapolis, IN 46259-5807

Phone

(317) 650-0133

Fax

(317) 862-8995

NPI assigned

Sep 28, 2010

Last updated

Sep 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Lynn Jordan

Title

Manager/Developmental Therapist

Phone

(317) 650-0133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1508175316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 STONES RIVER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462595807",
            "telephone_number": "317-650-0133",
            "fax_number": "317-862-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 STONES RIVER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462595807",
            "telephone_number": "317-650-0133",
            "fax_number": "317-862-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J PEDIATRIC THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER/DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "317-650-0133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.