Johnson City Physical Occupational Speech Outpatient Therapy, PLLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

672988 Issued in TN

Legal business name

JOHNSON CITY PHYSICAL OCCUPATIONAL SPEECH OUTPATIENT THERAPY, PLLC

Practice address

234 E Main St
Johnson City, TN 37604-5708

Phone

(904) 509-7100

NPI assigned

Dec 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lance A Pate, M.A. CCC-SLP

Title

Owner

Phone

(904) 509-7100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323475200000",
    "number": "1992073738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045708",
            "telephone_number": "904-509-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045708",
            "telephone_number": "904-509-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CITY PHYSICAL OCCUPATIONAL SPEECH OUTPATIENT THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-10",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-509-7100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TN",
            "license": "672988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson City Group Health, LLC
• Johnson City Health Property Investors, LLC
• Johnson City Medical Center
• Johnson City OB/GYN Associates
• Johnson City Oral and Maxillofacial Surgery, LLC
• Johnson City Smiles, LLC
• Johnson City Speech and Language Therapy
• Johnson City Urological Clinic, P.C.
• Johnson Hearing Technology and Communication, PLLC
• Abbey Lin Gillispie Johnson, MD

• Rehabilitation Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Rehabilitation Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.