NPIMap

Organization Active NPI

Pediatric Therapy Professionals Inc

  • Speech-Language Pathologist
  • Philomath, OR
National Provider Identifier
1861526402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11875 Issued in OR
Legal business name
PEDIATRIC THERAPY PROFESSIONALS INC
Practice address
111 N 20TH St
Philomath, OR 97370-9621
Phone
(541) 368-4313
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gerilyn Jean Aman, OTRLNPI 1699819060
Title
Therapy Coordinator
Phone
(541) 368-4313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11875 OR Primary

Addresses

Primary practice location

111 N 20TH St
Philomath, OR 97370-9621

Mailing address

111 N 20TH St
Philomath, OR 97370-9621
Phone (541) 368-4313

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Therapy Professionals Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861526402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 20TH ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709621",
            "telephone_number": "541-368-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 20TH ST",
            "city": "PHILOMATH",
            "state": "OR",
            "postal_code": "973709621",
            "telephone_number": "541-368-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMAN",
        "authorized_official_first_name": "GERILYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPY COORDINATOR",
        "authorized_official_telephone_number": "541-368-4313",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "11875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philomath, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.