Pediatric Therapy Services,LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

22423229 Issued in WV

Legal business name

PEDIATRIC THERAPY SERVICES,LLC

Practice address

309 Eleanor Dr
Morgantown, WV 26508-9004

Phone

(304) 698-6081

Fax

(304) 381-2035

NPI assigned

Dec 8, 2011

Last updated

Dec 8, 2011By 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

Tabitha Jeffries

Title

Director

Phone

(304) 698-6081

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1891063665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ELEANOR DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ELEANOR DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265089004",
            "telephone_number": "304-698-6081",
            "fax_number": "304-381-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "JEFFRIES",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-698-6081"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "27534",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WV",
            "license": "22423229",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WV",
            "license": "22423229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Peaslee, PHARMD
• Melinda Ann Pechinko
• Mackenzie R Peck
• Shaylee Ann Peckens, M.D.
• Pediatric Lung & Asthma Center, PLLC
• Pegasus Healthcare, LLC Dba Pegasus Home Healthcare, LLC
• Jessica Pekala
• Ramazan Kamil Peker, MD
• Hannah Pelaez
• Amy B Pelkey, CRNA

• Contractor in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Contractor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.