Summit Pediatric Therapy Corp

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

SUMMIT PEDIATRIC THERAPY CORP

Practice address

204 NE Chipman Rd
Lees Summit, MO 64063-2404

Phone

(816) 607-5333

NPI assigned

Feb 10, 2017

Organization subpart

No

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

Authorized official

Name

Melisa I Hendren

Title

Owner

Phone

(816) 607-5333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1508304403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 NE CHIPMAN RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632404",
            "telephone_number": "816-607-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 NE CHIPMAN RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632404",
            "telephone_number": "816-607-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PEDIATRIC THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "HENDREN",
        "authorized_official_first_name": "MELISA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-607-5333"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Summit Pediatric Dentistry
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• Summit Ridge Counseling Group, Inc
• Summit RX, LLC

• Public Health or Welfare Agency in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.