Successful Child Therapy Llc is a
Occupational Therapist - Pediatrics based in Park City, Kansas. Successful Child Therapy Llc is licensed to practice in Kansas (license number 1701909) and their current practice location is
1811 E Beaumont St, Park City, Kansas. It can be reached at their office (for appointments etc.) via phone at
(316) 260-2251.
NPI number for Successful Child Therapy Llc is 1790843175 and their current mailing address is 1811 E Beaumont St, Park City, Kansas. Successful Child Therapy Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1790843175.
Healthcare Provider's Profile
| Full Name | Successful Child Therapy Llc |
|---|
| Type | Facility |
|---|
| Speciality | Occupational Therapist - Pediatrics |
|---|
| Location | 1811 E Beaumont St, Park City, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790843175
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 05/28/2008
Medical Identifiers
Medical identifiers for Successful Child Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790843175 | NPI | - | NPPES |
| PHS | Other | KS | PREFERRED HEALTH SYSTEMS |
| 115686 | Other | KS | BCBS GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225XP0200X | Occupational Therapist - Pediatrics | 1701909 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Successful Child Therapy Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Successful Child Therapy Llc 1811 E Beaumont St, Park City, KS 67219-2420 Ph: (316) 260-2251 | Successful Child Therapy Llc 1811 E Beaumont St, Park City, KS 67219-2420 Ph: (316) 260-2251 |
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