PEDIATRIC THERAPY CENTER (NPI# 1396915427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396915427 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY CENTER |
| Practice Address |
10601 S 72nd St Ste. 103 Papillion NE 68046-3407 |
| Practice Telephone | 4029322782 |
| Practice Fax Number | 4029322705 |
| Mailing Telephone | 4029322782 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2015-07-02 |
| Authorized Official Name | MRS. CANDICE S MULLENDORE (OWNER) |
| Authorized Official Telephone | 4029322782 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629321138 | Pediatric Therapy Center | Physical Therapy Assistant | 1166 Kane Concourse Ste 202, Bay Harbor Islands, FL 33154-2023 | 2012-10-22 |
| 1558488361 | Pediatric Therapy Center | Occupational Therapist | 1940 Bonita Dr. - Upstairs, Aptos, CA 95003 | 2007-03-25 |
| 1801933858 | Pediatric Therapy Center | Clinic/Center | 1305 Kittitas St, Wenatchee, WA 98801-3600 | 2007-01-31 |
| 1801867833 | Pediatric Therapy Center | Clinic/Center | 1300 Jackson St, Alexandria, LA 71301-6929 | 2006-01-28 |
| 1831362540 | Pediatric Therapy Center | Occupational Therapist | 8050 Soquel Dr, Suite A, Aptos, CA 95003-3981 | 2008-04-03 |
| 1508067935 | Pediatric Therapy Center | Physical Therapist | 8323 Southwest Fwy, Suite 101, Houston, TX 77074-1615 | 2007-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PEDIATRIC THERAPY CENTER | 630 N Chelan Ave, Wenatchee, WA 98801 |
| Colorado Business Entities | Pediatric Therapy Center | 10601 S. 72nd St., Papillion, NE 68046 |
| Street Address |
10601 S 72ND ST STE. 103 |
| City | PAPILLION |
| State | NE |
| Zip Code | 68046-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659482131 | Candice J Mullendore | Occupational Therapist | 10601 S 72nd St, Suite 103, Papillion, NE 68046-3407 | 2006-08-31 |
| 1306395470 | Marissa E Ruhl | Occupational Therapist | 10601 S 72nd St, Ste 103, Papillion, NE 68046-3407 | 2016-09-29 |
| 1801345970 | Lori E Podany | Occupational Therapist | 10601 S 72nd St, Ste 103, Papillion, NE 68046-3407 | 2016-09-29 |
| 1538613492 | Jacinta Mary Traxler | Occupational Therapist | 10601 S 72nd St, Ste 103, Papillion, NE 68046-3407 | 2016-08-09 |
| 1336518653 | Tessie Rachels | Specialist | 10601 S 72nd St, Suite 103, Papillion, NE 68046-3407 | 2015-09-16 |
| 1275912586 | Holly Walts | Physical Therapist | 10601 S 72nd St, Papillion, NE 68046-3407 | 2015-05-20 |
| 1346549474 | Samantha Hagge | Occupational Therapist | 10601 S 72nd St, Ste. 103, Papillion, NE 68046-3407 | 2011-03-15 |
| 1891007563 | Amanda Kaye Pueppke | Physical Therapist | 10601 S 72nd St, Ste. 103, Papillion, NE 68046-3407 | 2010-07-09 |
| 1518107093 | Kristan L Pilakowski | Occupational Therapist | 10601 S 72nd St, Ste. 103, Papillion, NE 68046-3407 | 2009-02-24 |
| 1538284112 | Monica Ortiz-kirby | Speech-Language Pathologist | 10601 S 72nd St, Papillion, NE 68046-3407 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181525 | Alexis Lexi Morgan Mccoy | Speech-Language Pathologist | 423 S. Washington St, Papillion, NE 68046 | 2020-07-07 |
| 1144860339 | Megan Arlene Drost | Physical Therapist | 10601 S 72nd St. 103, Papillion, NE 68046 | 2020-01-15 |
| 1659930667 | Nil Sine Deo | Home Health | 10791 S 72nd St Ste 104, Papillion, NE 68046 | 2019-06-12 |
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| 1144884727 | Dayna Renee Hazlewood | Student in an Organized Health Care Education/Training Program | 120 Olson Drive, Ste 107, Papollion, NE 68046 | 2019-04-29 |
| 1659859734 | Vision Specialists of Papillion LLC | Optometrist | 120 Olson Drive Suite 107, Papillion, NE 68046 | 2018-08-01 |
| 1063999803 | Paige Jean Arlt | Speech-Language Pathologist | 420 S. Washington St., Papillion, NE 68046 | 2018-07-24 |
| 1508380437 | Adrienne Ann Haubold | Speech-Language Pathologist | 500 Valley Road, Papillion, NE 68046 | 2017-08-02 |
| 1316471667 | Dynamic Pain Relief | Pain Medicine | 701 Pinnacle Drive, Suite 105, Papillion, NE 68046 | 2017-04-13 |
| 1124575246 | Amy Allen | Speech-Language Pathologist | 10820 Wittmus Dr, Papillion, NE 68046 | 2016-09-07 |
| Find all providers in zip 68046 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914343 | Cristina M Sisneros | Occupational Therapist | 10601 S 72nd St Ste 103, Papillion, NE 68046-3408 | 2020-08-26 |
| 1891212387 | Emily Catherine Luke | Occupational Therapist | 1211 N Monroe St, Papillion, NE 68046-2045 | 2017-08-24 |
| 1720465297 | Nichole Gold | Occupational Therapist | 10601 S 72nd St Ste 103, Papillion, NE 68046-3408 | 2015-05-04 |
| 1922344647 | Sara Welniak | Occupational Therapist | 10791 S 72nd St, Papillion, NE 68046-3402 | 2012-12-28 |
| 1386988186 | Stephanie J Nelsen | Occupational Therapist | 10791 S 72nd St, Papillion, NE 68046-3402 | 2012-11-16 |
| 1235488370 | Jessica Marie Ackermann | Occupational Therapist | 10791 S 72nd St, 103, Papillion, NE 68046-3402 | 2012-09-05 |
| 1629348453 | Rachael Goldsmith | Occupational Therapist | 10791 S 72nd St, Pediatric Therapy Center, Papillion, NE 68046-3402 | 2012-01-10 |
| 1891062667 | Bryanne Durrence | Occupational Therapist | 10791 S 72nd St, Papillion, NE 68046-3402 | 2011-11-22 |
| 1649414863 | Emily Knapton | Occupational Therapist | 10791 S 72nd St, Suite 103, Papillion, NE 68046-3423 | 2009-05-01 |
| 1518107093 | Kristan L Pilakowski | Occupational Therapist | 10601 S 72nd St, Ste. 103, Papillion, NE 68046-3407 | 2009-02-24 |
| Find all providers in PAPILLION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.