Pediatric Rehab Services, PC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3074 Issued in TN

Legal business name

PEDIATRIC REHAB SERVICES, PC

Doing business as

Pediatric Rehab Services

Practice address

9282 Ingleside Farm N
Germantown, TN 38139-6719

Phone

(901) 756-7356

Fax

(901) 756-1349

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mark Albert Skoda

Title

Business Manager

Phone

(901) 756-7356

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Rehab Services Doing business as

Practitioners 1

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

• Maryann Landise Skoda, OTR/L

  • Pediatric Occupational Therapist
  • Germantown, TN
  • NPI 1528236361

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1710145784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9282 INGLESIDE FARM N",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396719",
            "telephone_number": "901-756-7356",
            "fax_number": "901-756-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9282 INGLESIDE FARM N",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396719",
            "telephone_number": "901-756-7356",
            "fax_number": "901-756-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC REHAB SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SKODA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "901-756-7356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "3074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Payton
• Peak Potential Physiotherapy and Wellness
• Amanda Davidson Pearson, AUD
• Richard McQuiston Pearson, M.D.
• Pediatric Neurology
• Pediatric Urology Associates of the Mid-South, P.C.
• Phillip A Pedigo, M.D.
• Frederick R Pelz, MD
• Joel Evan Perchik, M.D.
• David Perkins, CRNA

• Pediatric Occupational Therapist in Germantown, TN
• Providers in Germantown, TN by specialty
• Pediatric Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.