Pediatric Therapy Works, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PEDIATRIC THERAPY WORKS, LLC

Practice address

111 Merriman Ave E
Wynne, AR 72396-2941

Phone

(870) 270-7963

Fax

(870) 374-6061

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Jamie Frederick, MCD, CCC-SLPNPI 1275823494

Title

Co-Owner

Phone

(870) 270-7963

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jamie L Frederick, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Wynne, AR
  • NPI 1275823494
  NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1891562914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COUNTY ROAD 7290",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723968121",
            "telephone_number": "870-270-7963",
            "fax_number": "870-374-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MERRIMAN AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962941",
            "telephone_number": "870-270-7963",
            "fax_number": "870-374-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY WORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "870-270-7963",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janetta Cross Parchman, MHPP
• Chintan Patel, RPH
• Swadhin Patnaik
• Stacie Patterson, PHARMD
• Pediatric Speech Solutions, LLC
• Shanice C Pettigrew, PTA
• Ashley Pettus, DPT
• Bippy Poage, MHPP
• Mary Lougene Porter-Gordon, MHPP
• Teena F Powers

• Occupational Therapist in Wynne, AR
• Providers in Wynne, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.