1720 Pediatric Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

1720 PEDIATRIC THERAPY

Practice address

120 Muscadine Lane
Lafayette, LA 70508

Phone

(214) 729-6560

NPI assigned

Aug 13, 2024

Last updated

Dec 17, 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

Seth Hilburn, OTRNPI 1639543101

Title

Owner-Occupational Therapist

Phone

(214) 729-6560

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.

• Seth Hilburn, OTR

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1639543101
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1770314403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MUSCADINE LANE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "214-729-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MUSCADINE LANE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "214-729-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1720 PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "HILBURN",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "OWNER-OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "214-729-6560",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merriel G. .Brown, REGISTERED NURSE
• 1St Premier Transportation Inc
• 2707 Laf SNF LLC (Maison de Lafayette)
• 2707 Laf SNF LLC (Maison de Lafayette)
• 369 The Temple LLC
• 4Gentle Care Transportation , LLC

• Pediatric Occupational Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatric Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.