NPIMap

Organization Active NPI

Legacy Therapeutic Services, Inc.

Doing business as The Children's Clinic

  • Occupational Therapist
  • Apple Valley, CA
National Provider Identifier
1942910724
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
LEGACY THERAPEUTIC SERVICES, INC.
Doing business as
The Children's Clinic
Practice address
18270 Siskiyou Rd Ste B
Apple Valley, CA 92307-1413
Phone
(760) 991-3020
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
THE CHILDREN'S CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Mr. Matthew Edward Osbourn, OTR/LNPI 1033619580
Title
Occupational Therapist
Phone
(423) 762-8846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

18270 Siskiyou Rd Ste B
Apple Valley, CA 92307-1413

Mailing address

18270 Siskiyou Rd Ste B
Apple Valley, CA 92307-1413
Phone (760) 991-3020

Other identifiers 1

IdentifierTypeStateIssuer
1033619580OtherMATTHEW OSBOURN NPI

Other names 1

  • The Children's Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL frontdesk.thechildrensclinic@gmail.com Direct

National Provider Directory

National Provider Directory
Part of
Legacy Therapeutic Services Inc

Locations

18270 Siskiyou Rd
#B
Apple Valley, CA 92307
Phone (760) 912-8851

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1942910724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18270 SISKIYOU RD STE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071413",
            "telephone_number": "760-991-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18270 SISKIYOU RD STE B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071413",
            "telephone_number": "760-991-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHILDREN'S CLINIC",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "OSBOURN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "423-762-8846",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MATTHEW OSBOURN NPI",
            "identifier": "1033619580",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "frontdesk.thechildrensclinic@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18270 Siskiyou Rd Ste B",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923071413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.