Active NPI
Tater Tots Pediatric Therapy
- Pediatric Physical Therapist
- Klamath Falls, OR
National Provider Identifier
1548925399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- 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, 2022
- 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
- Kayla Taylor, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 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 DirectoryLocations
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.