Successful Child Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1701909 Issued in KS

Legal business name

SUCCESSFUL CHILD THERAPY LLC

Doing business as

Melinda Beth Shellenberger

Practice address

1811 E Beaumont St
Park City, KS 67219-2420

Phone

(316) 260-2251

Fax

(316) 744-3152

NPI assigned

Dec 5, 2006

Last updated

May 28, 2008By 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

Melinda Beth Shellenberger, OTR LICENSEDNPI 1215951405

Title

Owner

Phone

(316) 260-2251

Specialties & licenses 1

Addresses

Other names 1

• Melinda Beth Shellenberger 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.

• Melinda Beth Shellenberger, OTR/L

  • Pediatric Occupational Therapist
  • Park City, KS
  • NPI 1215951405

  Pediatrics

  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": "1211932800000",
    "number": "1790843175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 E BEAUMONT ST",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672192420",
            "telephone_number": "316-260-2251",
            "fax_number": "316-744-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E BEAUMONT ST",
            "city": "PARK CITY",
            "state": "KS",
            "postal_code": "672192420",
            "telephone_number": "316-260-2251",
            "fax_number": "316-744-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFUL CHILD THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "SHELLENBERGER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-260-2251",
        "authorized_official_credential": "OTR LICENSED"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "1701909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melinda Beth Shellenberger",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cierra Symmone Schweitzer, LPC
• Melinda Beth Shellenberger, OTR/L
• Christa Shue
• Savannah Smith
• Uraina Storey
• Swayne Chiropractic Office, LLC
• Madyson Talbot, PTA
• Daniel Keith Thompson, D.V.M.
• Robbie Thornton, RPH
• Shaundrieka Quatice Townes, LMSW

• Pediatric Occupational Therapist in Park City, KS
• Providers in Park City, KS by specialty
• Pediatric Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.