NPIMap

Organization Active NPI

Spectrum Therapy Solutions

  • Pediatric Occupational Therapist
  • Prairieville, LA
National Provider Identifier
1669868519
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
Z11958 Issued in LA
Legal business name
SPECTRUM THERAPY SOLUTIONS
Practice address
40235 Highway 42 Ste B
Prairieville, LA 70769-5244
Phone
(225) 622-7208
Fax
(225) 622-7208
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Mrs. Danielle Simone Mixon, LOTR
Title
Owner
Phone
(225) 622-7208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X Z11958 LA Primary

Addresses

Primary practice location

40235 Highway 42 Ste B
Prairieville, LA 70769-5244

Mailing address

16314 Winding Ridge Ave
Prairieville, LA 70769-3446
Phone (225) 622-7208

Other identifiers 1

IdentifierTypeStateIssuer
1194757740OtherLANPPES

Other names 1

  • Pediatric Therapy Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Therapy Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

40235 Highway 42
#B
Prairieville, LA 70769
Phone (225) 622-7208

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1669868519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16314 WINDING RIDGE AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693446",
            "telephone_number": "225-622-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40235 HIGHWAY 42 STE B",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695244",
            "telephone_number": "225-622-7208",
            "fax_number": "225-622-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM THERAPY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MIXON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-622-7208",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "Z11958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1194757740",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Therapy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.