Isenberg Pediatric Occup Therapy Inc

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2238 Issued in FL

Legal business name

ISENBERG PEDIATRIC OCCUP THERAPY INC

Doing business as

United Therapy Services

Practice address

2685 Jenks Ave
Panama City, FL 32405-4351

Phone

(850) 215-6788

Fax

(850) 215-6787

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley Isenberg Hickman, OTRLNPI 1184782906

Title

Owner

Phone

(850) 258-6366

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• United Therapy Services Doing business as

Tax ID family

Isenberg Pediatric Occup Therapy Inc2 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.

• Isenberg Pediatric Occupational Therapy, Inc.

  • Pediatric Occupational Therapist
  • Panama City, FL
  • NPI 1023266491
  NPD tax ID

Locations

Practitioners 1

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

• Shelley Isenberg Hickman, OTRL

  • Occupational Therapist
  • Tellico Plains, TN
  • NPI 1184782906
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1750449567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "32444",
            "telephone_number": "850-258-6366",
            "fax_number": "850-522-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054351",
            "telephone_number": "850-215-6788",
            "fax_number": "850-215-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISENBERG PEDIATRIC OCCUP THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ISENBERG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-258-6366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT2238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886362800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Invalid Npi
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• Yeliu Irish, LMT
• Iron Rehab LLC
• Kanyaratana Isaac, DDS
• Isenberg Pediatric Occupational Therapy, Inc.
• Lindsey Ives, BCBA
• Deborah Ivey, ARNP
• Ivy Spine & Orthopedics, LLC
• Lynette Ivy, PTA

• Occupational Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.