Organization Active NPI

Continuum Healthcare Staffing LLC

  • Pediatric Occupational Therapist
  • Cookeville, TN
National Provider Identifier
1508270505
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4058 Issued in TN
Legal business name
CONTINUUM HEALTHCARE STAFFING LLC
Practice address
819 Oaklawn CT
Cookeville, TN 38501-2921
Phone
(931) 510-8832
NPI assigned
Jun 17, 2014
Last updated
Jun 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Brent Yates, OTDR/L
Title
Member
Phone
(931) 510-8832

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 3389 TN
Pediatric Occupational Therapist 225XP0200X 3741 TN
Pediatric Occupational Therapist 225XP0200X 4058 TN Primary

Addresses

Primary practice location

819 Oaklawn CT
Cookeville, TN 38501-2921

Mailing address

819 Oaklawn CT
Cookeville, TN 38501-2921

Other identifiers 2

IdentifierTypeStateIssuer
1134351562OtherNPI
Q001989MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1508270505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 OAKLAWN CT",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 OAKLAWN CT",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012921",
            "telephone_number": "931-510-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUUM HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "931-510-8832",
        "authorized_official_credential": "OTDR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "3389",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "3741",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "4058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134351562",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001989",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.