Active NPI
LTC Therapy Solutions LLC
- Occupational Therapist
- Humboldt, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1553
- Legal business name
- LTC THERAPY SOLUTIONS LLC
- Practice address
- 2400 E Mitchell St
Humboldt, TN 38343-3036 - Phone
- (731) 784-5183
- Fax
- (731) 784-2105
- NPI assigned
- Aug 19, 2011
- Last updated
- Aug 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Kavanagh, PHYSICAL THERAPIST
- Title
- President of Reconnect Therapy
- Phone
- (662) 680-3148
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1553 | TN | Primary |
Addresses
Primary practice location
2400 E Mitchell St
Humboldt, TN 38343-3036
Mailing address
2400 E Mitchell St
Humboldt, TN 38343-3036
Phone (731) 784-5183
National Provider Directory
National Provider Directory- Tax ID family
- LTC Therapy Solutions LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Iuka, MS
- NPI 1871862003
Locations
2400 E Mitchell St
Humboldt, TN 38343
Phone (731) 784-5183
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Bruce, MS
- NPI 1487968574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313712000000",
"number": "1548540701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 E MITCHELL ST",
"city": "HUMBOLDT",
"state": "TN",
"postal_code": "383433036",
"telephone_number": "731-784-5183",
"fax_number": "731-784-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 E MITCHELL ST",
"city": "HUMBOLDT",
"state": "TN",
"postal_code": "383433036",
"telephone_number": "731-784-5183",
"fax_number": "731-784-2105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LTC THERAPY SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A",
"authorized_official_last_name": "KAVANAGH",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT OF RECONNECT THERAPY",
"authorized_official_telephone_number": "662-680-3148",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHYSICAL THERAPIST"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "1553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humboldt, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.