Little Bloomers Pediatric Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LITTLE BLOOMERS PEDIATRIC THERAPY LLC

Practice address

160 Devonshire PL
Tyrone, GA 30290-2593

Phone

(404) 374-5399

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Phedra FieldsNPI 1467808246

Title

Owner

Phone

(404) 374-5399

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phedra Fields

  • Occupational Therapist
  • Tyrone, GA
  • NPI 1467808246
  NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1508433624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DEVONSHIRE PL",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DEVONSHIRE PL",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902593",
            "telephone_number": "404-374-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BLOOMERS PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "PHEDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-374-5399"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Mathew Lenahan, LMT
• Paulette Lorene Lewis, MPT, DPT
• Paul Washington Lindo, D.D.S.
• Elizabeth Lindsey, OTR/L
• Ticaria Lynne Lipsey, M.D.
• Little Peaches Pediatric Dentistry
• Margaret Locker-Polding
• Sharon Marie Loggins, D.C.
• Lotus Center for Counseling and Wellness LLC
• Asia Lurry, RBT

• Occupational Therapist in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.