My Therapy Tree, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC010937 Issued in PA

Legal business name

MY THERAPY TREE, LLC

Practice address

4424 Venus Ave
Harrisburg, PA 17112-9122

Phone

(302) 690-6993

NPI assigned

Nov 26, 2016

Last updated

Dec 20, 2016By 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

Mr. Keith Thomas Parker, MOT, OTR/LNPI 1497083695

Title

Therapist/ Owner

Phone

(302) 690-6993

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.

• Keith Thomas Parker, MOT, OTR/L

  • Occupational Therapist
  • Harrisburg, PA
  • NPI 1497083695
  NPD (past) Authorized official

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

{
    "created_epoch": "1480118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1841733771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 VENUS AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129122",
            "telephone_number": "302-690-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 VENUS AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171129122",
            "telephone_number": "302-690-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPY TREE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-26",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "THERAPIST/ OWNER",
        "authorized_official_telephone_number": "302-690-6993",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010937",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "OC010937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.