NPI 1124086822 · live from the CMS NPI Registry
Abc Pediatric Therapy, LLC
Early Intervention Provider Agency in Oxford, NC. National Provider Identifier 1124086822, active.
NPI record
| NPI | 1124086822 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Early Intervention Provider Agency 252Y00000X |
| Practice location | 153 Old Warehouse Sq, Oxford, NC 27565 |
| Practice phone | 919-693-1671 |
| Mailing address | 1010 Brooks Bay Dr, Erie, PA 16505 |
| Enumerated | May 2, 2006 |
| Last updated | July 30, 2020 |
| Authorized official | Kelli Bentsen, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Physical Therapist, Pediatrics | 2251P0200X | — |
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Early Intervention Provider Agency primary | 252Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.