Sprouts Pediatric Clinic, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SPROUTS PEDIATRIC CLINIC, LLC

Practice address

200 Valencia Dr Ste 160
Jacksonville, NC 28546-6315

Phone

(206) 653-6090

NPI assigned

Oct 18, 2019

Last updated

Oct 18, 2019By 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

Kiley Throop, MS, OTR/LNPI 1710541552

Title

Occupational Therapist / Owner

Phone

(206) 653-6090

Specialties & licenses 1

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.

• Kiley Throop, OTR

  • Occupational Therapist
  • Jacksonville, NC
  • NPI 1710541552
  NPD Authorized official

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1831732197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LONDON BERRY LN",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404243",
            "telephone_number": "206-653-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VALENCIA DR STE 160",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466315",
            "telephone_number": "206-653-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTS PEDIATRIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "THROOP",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "206-653-6090",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spirit of Excellence Community Outreach,Inc. (Guardian Care 1, 2, 3, 4, Changing Lives, Safe Haven,Bridge of Hope)
• Madelyn Kay Spitzform
• Sports Plus
• Sprague, PLLC (Schilsky Chiropractic Center)
• Marie Sproat, IBCLC, RLC
• Christina Stakely, LMFT
• Patrice Leann Stange, OTR/L, OTD, CHT
• Abigail Stanley
• Star Medical Clinic PLLC
• Patricia Stark, FNP

• Occupational Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.