NPIMap

Organization Active NPI

Children's Therapy Center of Pettis County, Inc

  • Developmentally Disabled Services Day Training Agency
  • Sedalia, MO
National Provider Identifier
1578687307
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC
Practice address
1500 Ewing Dr
Sedalia, MO 65301-2396
Phone
(660) 826-4400
Fax
(866) 495-6424
NPI assigned
Mar 19, 2007
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Ann Graff
Title
Executive Director/Ceo
Phone
(660) 826-4400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Hearing and Speech Clinic/Center 261QH0700X NU
Physical Therapy Clinic/Center 261QP2000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1500 Ewing Dr
Sedalia, MO 65301-2396

Mailing address

1500 Ewing Dr
Sedalia, MO 65301-2396
Phone (660) 826-4400

Other identifiers 1

IdentifierTypeStateIssuer
851306407MedicaidMO

Other names 1

  • Center for Human Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Center for Human Services14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1578687307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EWING DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012396",
            "telephone_number": "660-826-4400",
            "fax_number": "866-495-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EWING DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012396",
            "telephone_number": "660-826-4400",
            "fax_number": "866-495-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY CENTER OF PETTIS COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "660-826-4400"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851306407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.