Pediatric Therapeutics, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 002338 Issued in OH

Legal business name

PEDIATRIC THERAPEUTICS, LLC

Practice address

9130 Indian Springs CT
Dayton, OH 45458-9598

Phone

(937) 885-7120

Fax

(937) 885-7120

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bhanu R Raghavan, OTR/LNPI 1689620759

Title

Occupational Therapist

Phone

(937) 885-7120

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bhanu R Raghavan, OTR/L

  • Pediatric Occupational Therapist
  • Dayton, OH
  • NPI 1689620759

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659324556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9130 INDIAN SPRINGS CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454589598",
            "telephone_number": "937-885-7120",
            "fax_number": "937-885-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 INDIAN SPRINGS CT",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454589598",
            "telephone_number": "937-885-7120",
            "fax_number": "937-885-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAGHAVAN",
        "authorized_official_first_name": "BHANU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "937-885-7120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT 002338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicky L Peck, APRN CNP
• Kavita Yalla Peddireddi, MD
• Erin Peden, APRN
• Pediatric Anesthesia Associates of Dayton, Inc.
• Pediatric Associates of Dayton Inc
• Pediatrix Medical Group of Ohio Corp
• Barry Scott Pedicord, D.C.
• Michael Joseph Pedoto, MD
• Kelsey Peege, DMD
• Ivory Peek

• Pediatric Occupational Therapist in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatric Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.