Kidscan Therapy Services

Primary specialty

SpecialistTaxonomy code 174400000X

License

4662 Issued in NC

Legal business name

KIDSCAN THERAPY SERVICES

Practice address

523 Lynchburg Rd
Pilot Mountain, NC 27041-9326

Phone

(336) 408-0821

Fax

(336) 232-1411

NPI assigned

Jun 25, 2009

Last updated

Mar 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jami Glynn Tucker, OTR/LNPI 1952557019

Title

Owner

Phone

(336) 408-0821

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jami Glynn Tucker

  • Occupational Therapist
  • Pilot Mountain, NC
  • NPI 1952557019
  NPD (past) Authorized official

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1609004803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "KING",
            "state": "NC",
            "postal_code": "270211107",
            "telephone_number": "336-408-0821",
            "fax_number": "336-922-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 LYNCHBURG RD",
            "city": "PILOT MOUNTAIN",
            "state": "NC",
            "postal_code": "270419326",
            "telephone_number": "336-408-0821",
            "fax_number": "336-232-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSCAN THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "GLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-408-0821",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "4662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302190",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Springs Family Practice
• Stephanie Cheryl Johnson, M.A., LPC
• Samantha Smith Joyce, FNP
• Randall Scott Keith, M.D.
• Kent N. Tucker,D.D.S.,P.a.
• Sheri Ann Kretzschmar, R.N.
• Kimberly Scarlet May-Sepulveda
• Selena McHone, RT(MR)
• Heather McKeithan
• Patrick Alan McMillan, D.D.S.

• Specialist in Pilot Mountain, NC
• Providers in Pilot Mountain, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.