Pediatric Therapy Specialists of South Central PA, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

OC004139L Issued in PA

Legal business name

PEDIATRIC THERAPY SPECIALISTS OF SOUTH CENTRAL PA, LLC

Practice address

2316 Ocracoke Island CT
Chambersburg, PA 17202-7422

Phone

(717) 816-0742

NPI assigned

Jul 25, 2012

Last updated

Jul 27, 2012By 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

Krista Miracle, OTR/L

Title

Owner/ Occupational Therapist

Phone

(717) 816-0742

Specialties & licenses 2

Addresses

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.

• Kaylee Monninger

  • Occupational Therapist
  • Chambersburg, PA
  • NPI 1083150700
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1760738975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 OCRACOKE ISLAND CT",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172027422",
            "telephone_number": "717-816-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 OCRACOKE ISLAND CT",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172027422",
            "telephone_number": "717-816-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SPECIALISTS OF SOUTH CENTRAL PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "717-816-0742",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004139L",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "OC004139L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick G. Brannac, MD (Fry Ophthalmology and Associates)
• Rosanna Pau, M.D.
• Ricci Brooke Peck Costa, MSW
• Alexander Howard Peck, PHARMD
• Kayla Peck
• Linda Louise Pelletier, P.T.
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #17317)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01649)
• Pennsylvania CVS Pharmacy. L.L.C. (CVS Pharmacy #01918)
• Elaina P Pepersack, PHARM D,

• Early Intervention Provider Agency in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.