Floyd Pediatric Therapy and Intervention for Tic Disorders

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

FLOYD PEDIATRIC THERAPY AND INTERVENTION FOR TIC DISORDERS

Practice address

651 S Mount Juliet Rd
Mount Juliet, TN 37122-6319

Phone

(757) 969-2300

NPI assigned

Jan 16, 2021

Organization subpart

No

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

Authorized official

Name

Robert Foreman

Title

Billing

Phone

(630) 216-9437

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Floyd, OTR/L

  • Pediatric Occupational Therapist
  • Mt Juliet, TN
  • NPI 1982975330

  Pediatrics

  NPD

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610755200000",
    "number": "1861081572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226319",
            "telephone_number": "757-969-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 S MOUNT JULIET RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226319",
            "telephone_number": "757-969-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD PEDIATRIC THERAPY AND INTERVENTION FOR TIC DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "630-216-9437"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chekenna Fletcher
• Flora MD PLLC
• Flora Method PLLC
• Alexis Flory
• James Flowers
• Shannon Floyd, OTR/L
• Margaret Colmore Flynn, MED., LPC-MHSP
• Kendall Folz
• Gillian Ford
• Nicholas William Foreman

• Occupational Therapist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.