NPIMap

Organization Active NPI

Bluebird Pediatric Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Mobile, AL
National Provider Identifier
1619255460
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
3077 Issued in AL
Legal business name
BLUEBIRD PEDIATRIC THERAPY SERVICES, INC.
Practice address
6312 Piccadilly Square Dr
Suite 3
Mobile, AL 36609-5143
Phone
(251) 287-0378
Fax
(251) 287-0466
NPI assigned
Jul 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Mrs. Danielle M Peters, M.S.OTR/LNPI 1184863854
Title
Owner/Pediatric OT
Phone
(251) 753-1613

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 3077 AL Primary

Addresses

Primary practice location

6312 Piccadilly Square Dr
Suite 3
Mobile, AL 36609-5143

Mailing address

6312 Piccadilly Square Dr
Suite 3
Mobile, AL 36609-5143
Phone (251) 287-0378

Other identifiers 1

IdentifierTypeStateIssuer
130837MedicaidAL

National Provider Directory

National Provider Directory

Locations

6157 Airport Blvd
Ste 205
Mobile, AL 36608
Phone (251) 287-0378

6312 Piccadilly Square Dr
Ste 3
Mobile, AL 36609
Phone (251) 287-0378

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1619255460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 PICCADILLY SQUARE DR",
            "address_2": "SUITE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-287-0378",
            "fax_number": "251-287-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 PICCADILLY SQUARE DR",
            "address_2": "SUITE 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-287-0378",
            "fax_number": "251-287-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD PEDIATRIC THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC OT",
        "authorized_official_telephone_number": "251-753-1613",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AL",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130837",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.