Organization Active NPI

Empire Pediatric Therapy, LLC

  • Occupational Therapist
  • Spokane, WA
National Provider Identifier
1700318219
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60269905 Issued in WA
Legal business name
EMPIRE PEDIATRIC THERAPY, LLC
Practice address
2527 E 27TH Ave
Spokane, WA 99223-4909
Phone
(509) 701-7651
Fax
(509) 279-2636
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Maile Mohsenian, OTR/L
Title
Owner
Phone
(509) 701-7651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT60269905 WA Primary

Addresses

Primary practice location

2527 E 27TH Ave
Spokane, WA 99223-4909

Mailing address

2527 E 27TH Ave
Spokane, WA 99223-4909
Phone (509) 701-7651

National Provider Directory

National Provider Directory

Locations

2527 E 27th Ave
Spokane, WA 99223
Phone (509) 701-7651

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1700318219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 E 27TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234909",
            "telephone_number": "509-701-7651",
            "fax_number": "509-279-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2527 E 27TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234909",
            "telephone_number": "509-701-7651",
            "fax_number": "509-279-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "MOHSENIAN",
        "authorized_official_first_name": "MAILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-701-7651",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60269905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.