NPIMap

Organization Active NPI

Nurture Pediatric Therapy LLC

  • Clinic/Center
  • Mishawaka, IN
National Provider Identifier
1548978117
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NURTURE PEDIATRIC THERAPY LLC
Practice address
928 S Merrifield Ave
Mishawaka, IN 46544-2807
Phone
(574) 807-1456
Fax
(574) 807-9598
NPI assigned
Nov 11, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Allison Anne Pascarella, MA, CCC-SLPNPI 1902186406
Title
Owner
Phone
(574) 807-1456

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

928 S Merrifield Ave
Mishawaka, IN 46544-2807

Mailing address

60610 Fir Rd
Mishawaka, IN 46544-9216
Phone (574) 807-1456

National Provider Directory

National Provider Directory

Locations

3305 Grape Rd
Ste 1
Mishawaka, IN 46545

3305 Grape Rd
Ste 3
Mishawaka, IN 46545
Phone (574) 217-7423

928 S Merrifield Ave
Mishawaka, IN 46544
Phone (574) 807-1456

Practitioners & affiliated clinicians

Practitioners 10

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": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1548978117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60610 FIR RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449216",
            "telephone_number": "574-807-1456",
            "fax_number": "574-807-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 S MERRIFIELD AVE",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442807",
            "telephone_number": "574-807-1456",
            "fax_number": "574-807-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "PASCARELLA",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-807-1456",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.