Pediatric PT LLC.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

PEDIATRIC PT LLC.

Practice address

1705 Leighton Ave
Anniston, AL 36207-3832

Phone

(256) 235-2524

Fax

(256) 236-2573

NPI assigned

Nov 21, 2016

Last updated

Feb 8, 2017By 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

Mrs. Tanja Elliott

Title

Office Manager

Phone

(256) 235-2524

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Brittain Dawson Benton, PT, DPT

  • Physical Therapist
  • Anniston, AL
  • NPI 1659823789
  NPD (past)
• Judy Jordan Benton, PT, PCS

  • Physical Therapist
  • Anniston, AL
  • NPI 1710991450
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1861935033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 HERITAGE LN NE",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362651255",
            "telephone_number": "256-235-2524",
            "fax_number": "256-236-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362073832",
            "telephone_number": "256-235-2524",
            "fax_number": "256-236-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "TANJA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-235-2524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890001880",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carson William Pearce, CRNP
• Haley Cobb Pearl, MS, RD, LD
• Pearls Transportation LLC
• Amanda Marie Pearson, FNP-BC
• Terrance R Pearson, PT
• Pediatrics Plus, P.C.
• Leslie Murray Peek, FNP-C
• Audrey Pentecost
• Keyanna Peters, LPC
• Janya Phillips

• Pediatric Occupational Therapist in Anniston, AL
• Providers in Anniston, AL by specialty
• Pediatric Occupational Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.