Boone Pediatric Therapy PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

BOONE PEDIATRIC THERAPY PLLC

Doing business as

Maple Tree Pediatric Therapy

Practice address

419 E Main Street
Suite 2
Jefferson, NC 28640

Phone

(828) 528-1617

NPI assigned

Jun 2, 2020

Last updated

Jun 24, 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. Stephanie Whigham, MS, OTR/LNPI 1043754476

Title

Occupational Therapist

Phone

(828) 528-1617

Specialties & licenses 1

Addresses

Other names 1

• Maple Tree Pediatric Therapy Doing business as

Practitioners 1

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.

• Stephanie Conner Whigham, M.S., OTR/L

  • Occupational Therapist
  • Boone, NC
  • NPI 1043754476
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1700400173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SKYLER LN",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076768",
            "telephone_number": "919-437-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 E MAIN STREET",
            "address_2": "SUITE 2",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "28640",
            "telephone_number": "828-528-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "WHIGHAM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "828-528-1617",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Tree Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maple Tree Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Joseph Blevins, LCMHC
• Michelle Hampton Blevins
• Blue Ridge Medical Transport Inc
• Bluehill Health and Wellness, PLLC
• Melinda A Bogardus, FNP
• Mark Bordeaux
• Julie Elizabeth Bostick, LCSW-A
• Kayla Bowlin, RN
• Elizabeth Leigh Bradley, M. D.
• Barbara Ann Brown, LPC

• Pediatric Occupational Therapist in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.