Full Spectrum Pediatric Therapy, Inc. in Clarksville - Occupational Therapist
Full Spectrum Pediatric Therapy, Inc. - NPI 1255472403
Full Spectrum Pediatric Therapy, Inc. is a Occupational Therapist in Clarksville, Tennessee. Full Spectrum Pediatric Therapy, Inc. practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Full Spectrum Pediatric Therapy, Inc. is 1255472403. The last update date is 2022-04-20.
Full Spectrum Pediatric Therapy, Inc.'s current location address is 298 Warfield Blvd, Suite C, Clarksville, Tennessee. You can contact this provider via phone number 9319060440 and fax number 9319205070. The mailing address for Full Spectrum Pediatric Therapy, Inc. is 298 Warfield Blvd, Suite C, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Full Spectrum Pediatric Therapy, Inc. |
|---|---|
| Address | 298 Warfield Blvd, Suite C, Clarksville, Tennessee |
| Phone Number | 9319060440 |
| Fax Number | 9319205070 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Broome Kareen Lana |
| Credentials | OTR/L |
| Telephone Number | 9319060440 |
NPI Number Detail
| NPI Number | 1255472403 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2022-04-20 |
Provider Mailing Address Detail
| Address | 298 Warfield Blvd, Suite C |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370431896 |
| Phone Number | 9319060440 |
| Fax Number | 9319205070 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT 2156 |
|
Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4004828 | TN | TENNCARE PROVIDER NUMBER | |
| 4004828 | TN | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Full Spectrum Pediatric Therapy, Inc. by the Centers for Medicare & Medicaid Services?
The Full Spectrum Pediatric Therapy, Inc. has been issued the NPI (National Provider Identifier) 1255472403. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Full Spectrum Pediatric Therapy, Inc.?
The Full Spectrum Pediatric Therapy, Inc. is situated at 298 Warfield Blvd, Suite C, in the city of Clarksville, state of TN, with the zip code 370431896.
What is Full Spectrum Pediatric Therapy, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Full Spectrum Pediatric Therapy, Inc. is Occupational Therapist, and the taxonomy code that categorizes this field of expertise is 225X00000X.
On what date was the 1255472403 assigned to Full Spectrum Pediatric Therapy, Inc.?
The Full Spectrum Pediatric Therapy, Inc. was issued its 1255472403 on 2007-02-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Full Spectrum Pediatric Therapy, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Full Spectrum Pediatric Therapy, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-04-20.
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