Organization Active NPI

Tater Tots Pediatric Therapy

  • Pediatric Physical Therapist
  • Klamath Falls, OR
National Provider Identifier
1548925399
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
TATER TOTS PEDIATRIC THERAPY
Practice address
2450 Summers LN
Klamath Falls, OR 97603-6600
Phone
(541) 887-2207
Fax
(541) 887-2208
NPI assigned
Nov 6, 2021
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Kayla Taylor, DPTNPI 1548645609
Title
President
Phone
(541) 337-2343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2450 Summers LN
Klamath Falls, OR 97603-6600

Mailing address

PO Box 5255
Klamath Falls, OR 97601-0127
Phone (541) 887-2207

National Provider Directory

National Provider Directory

Locations

2450 Summers Ln
Klamath Falls, OR 97603
Phone (541) 883-4748

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.

NPI Registry JSON

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1548925399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5255",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010127",
            "telephone_number": "541-887-2207",
            "fax_number": "541-887-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SUMMERS LN",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976036600",
            "telephone_number": "541-887-2207",
            "fax_number": "541-887-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATER TOTS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-06",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-337-2343",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.