Procare Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PROCARE THERAPY

Practice address

123 N Eisenhower Dr
Junction City, KS 66441-3313

Phone

(785) 717-9340

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Kanousha Burton-Martin

Title

Slpa

Phone

(662) 303-3102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1821480344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PORTER DR",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387513717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N EISENHOWER DR",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664413313",
            "telephone_number": "785-717-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "BURTON-MARTIN",
        "authorized_official_first_name": "KANOUSHA",
        "authorized_official_title_or_position": "SLPA",
        "authorized_official_telephone_number": "662-303-3102"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Junction City, KS
• Providers in Junction City, KS by specialty
• Early Intervention Provider Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.