Golden Pediatric Therapy Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GOLDEN PEDIATRIC THERAPY SERVICES LLC

Practice address

84 Chapel Hill St
Pike Road, AL 36064-3859

Phone

(334) 322-5530

NPI assigned

May 16, 2024

Last updated

May 16, 2024By 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

Mrs. Morgan Vangilder, OTR/LNPI 1225736754

Title

Co-Owner, Occupational Therapist

Phone

(334) 322-5530

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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.

• Morgan Vangilder, OTR/L

  • Pediatric Occupational Therapist
  • Pike Road, AL
  • NPI 1225736754
  NPD Authorized official
• Katelyn Mount Holstun, OTR/L

  • Pediatric Occupational Therapist
  • Pike Road, AL
  • NPI 1235835323
  NPD

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1669221131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 CHAPEL HILL ST",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360643859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CHAPEL HILL ST",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360643859",
            "telephone_number": "334-322-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN PEDIATRIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "VANGILDER",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "CO-OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "334-322-5530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235835323",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225736754",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Alliance Network
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• Patricia Ford, LCSW
• Rachel Friend
• Devin James Gilliam
• Great Leaps Learning Center
• Rebecca Tiller Harrison
• Lauren Hart
• Haven Home Health LLC
• Colleen Irving Hawthorne, M.C.D., CCC-SLP

• Clinic/Center in Pike Road, AL
• Providers in Pike Road, AL by specialty
• Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.