The Center for Therapy Pediatric Therapy Services

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTT.Z10975 Issued in LA

Legal business name

THE CENTER FOR THERAPY PEDIATRIC THERAPY SERVICES

Practice address

1800 Buckner St
C-200
Shreveport, LA 71101-4440

Phone

(318) 227-9002

Fax

(318) 227-9025

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Suzanne V McMillian, LOTR

Title

Owner

Phone

(318) 227-9002

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1952582991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "C-200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-9002",
            "fax_number": "318-227-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "C-200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-9002",
            "fax_number": "318-227-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR THERAPY PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-227-9002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LOTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTT.Z10975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Betty and Leonard Phillips Deaf Action Center
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• The Carpenter Center for Palliative Medicine of Shreveport, LLC
• The Cataract Surgeons LLC
• The Center for Families, Inc.
• The Center for Therapy, Inc
• The Delta Pathology Group LLC
• The Delta Pathology Group LLC
• The Delta Pathology Group, L.L.C.
• The Edge Physical Therapy and Sports Science Center

• Pediatric Occupational Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatric Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.