Paradise Therapy Services

Primary specialty

ContractorTaxonomy code 171W00000X

License

209626 Issued in TX

Legal business name

PARADISE THERAPY SERVICES

Practice address

773 Lyles Rd
Gilmer, TX 75644-5696

Phone

(903) 736-5796

NPI assigned

Jul 23, 2016

Organization subpart

No

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

Authorized official

Name

Wanda Clark

Title

Executive Director

Phone

(903) 736-5796

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469232000000",
    "number": "1942753173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 LYLES RD",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756445696",
            "telephone_number": "903-736-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 LYLES RD",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756445696",
            "telephone_number": "903-736-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-736-5796"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "TX",
            "license": "209626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexion Health at Gilmer Inc
• Olivia Faith Nolan, NP
• Carrie Veitch Nolley, COTA
• Old Glory Medical Transportation
• Heather Oynes, PHARMD
• Rebecca Kaye Parker
• Greta Parks-Herndon, MD
• Bansari Patel
• Karen Pearson
• Ashley Nicole Pepper

• Contractor in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.