Organization Active NPI

Childs Play Rehabilitation, Inc.

  • Pediatric Occupational Therapist
  • Murphy, NC
National Provider Identifier
1861559015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4032 Issued in NC
Legal business name
CHILDS PLAY REHABILITATION, INC.
Practice address
85 Wells St
Murphy, NC 28906-8102
Phone
(828) 835-7073
Fax
(828) 644-9814
NPI assigned
Jan 3, 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
Ms. Jennifer L Jackson, O.T.
Title
President
Phone
(828) 835-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 4032 NC Primary

Addresses

Primary practice location

85 Wells St
Murphy, NC 28906-8102

Mailing address

830 Graham Rd
Murphy, NC 28906-8957
Phone (828) 835-7073

Other identifiers 1

IdentifierTypeStateIssuer
1211FOtherNCBLUE CROSS BLUE SHEILD PR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861559015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 GRAHAM RD",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289068957",
            "telephone_number": "828-835-7073",
            "fax_number": "828-644-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WELLS ST",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289068102",
            "telephone_number": "828-835-7073",
            "fax_number": "828-644-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDS PLAY REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-835-7073",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "4032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD PR",
            "identifier": "1211F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

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.