CHILDREN'S THERAPY CENTER (NPI# 1841672250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841672250 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S THERAPY CENTER |
| Other Organization Name | DYNAMIC FAMILY SERVICES |
| Practice Address |
10811 Se Kent Kangley Rd Kent WA 98030-7108 |
| Practice Telephone | 2538545660 |
| Practice Fax Number | 2538547025 |
| Mailing Telephone | 2538545660 |
| Mailing Fax Number | 2538547025 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Authorized Official Name | JON BOTTEN (CEO) |
| Authorized Official Telephone | 2538545660 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S THERAPY CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | WA | Suppliers | |
| Y | 335E00000X | Prosthetic/Orthotic Supplier | WA | Suppliers |
| Other Name | Type Code |
|---|---|
| Dynamic Family Services | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821494741 | Children's Therapy Center | Day Training, Developmentally Disabled Services | 8729 S Commercial, Chicago, IL 60617 | 2014-11-05 |
| 1255744975 | Children's Therapy Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8729 S Commercial Ave, Store Front, Chicago, IL 60617-3221 | 2014-06-10 |
| 1871780767 | Children's Therapy Center | Community/Behavioral Health | 127 Tower Rd., Warsaw, MO 65355 | 2007-09-25 |
| 1871008268 | Children's Therapy Center | Occupational Therapist | 155 Granada St Ste A, Camarillo, CA 93010-7725 | 2017-12-06 |
| 1922480334 | Children's Therapy Center | Durable Medical Equipment & Medical Supplies | 127 Sw 156th St, Burien, WA 98166-2562 | 2015-06-22 |
| 1487036893 | Children's Therapy Center | Durable Medical Equipment & Medical Supplies | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2015-06-22 |
| 1215051040 | Children's Therapy Center | Community/Behavioral Health | 515 N Park Ave, Sedalia, MO 65301-2717 | 2007-03-19 |
| 1528114469 | Children's Therapy Center | Durable Medical Equipment & Medical Supplies | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CHILDREN'S THERAPY CENTER OF THE QUAD CITIES, NFP | 4450 48th Ave. Ct., Rock Island, IL 61201 |
| Street Address |
10811 SE KENT KANGLEY RD |
| City | KENT |
| State | WA |
| Zip Code | 98030-7108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215945324 | Karen D. Baker | Physical Therapist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2006-08-04 |
| 1649888686 | Frances Bueno | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2020-07-15 |
| 1134747389 | Emma Drehobl | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2020-07-13 |
| 1588282115 | Heather Jackson | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2020-07-09 |
| 1376177360 | Vanessa Maureen Whattam | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2020-02-27 |
| 1790328474 | Leilani Sui Jones | Occupational Therapist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2019-10-24 |
| 1699316380 | Sara Barbara Basil | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2019-10-03 |
| 1124669338 | Sarah Falcone | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2019-09-30 |
| 1053960450 | Taylor Kristine Spooner | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2019-09-09 |
| 1821656448 | Kendra Lynn Thomas | Speech-Language Pathologist | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2019-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114020781 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 2007 State Route 59, Kent, OH 44240-7610 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317784 | Preferred Orthotic and Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 520 S Cowley St Ste 104, Spokane, WA 99202-1315 | 2019-10-10 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1063906295 | Wmc Inc | Prosthetic/Orthotic Supplier | 2600 3rd Ave Ste B, Seattle, WA 98121-1293 | 2018-06-20 |
| 1174934707 | Nw Magnum LLC | Prosthetic/Orthotic Supplier | 108 Central Way, Kirkland, WA 98033-6106 | 2014-05-16 |
| 1205100013 | Cadence Biomedical, Inc. | Prosthetic/Orthotic Supplier | 146 N Canal St Ste 100, Seattle, WA 98103-8652 | 2012-02-27 |
| 1174807853 | Dental Sleep Therapy of Walla Walla Pllc | Prosthetic/Orthotic Supplier | 213 S 2nd Ave, Walla Walla, WA 99362-3002 | 2011-09-29 |
| 1922396159 | Hair Options | Prosthetic/Orthotic Supplier | 7106 Greenwood Ave N, Seattle, WA 98103-5038 | 2011-07-21 |
| 1083902746 | Seattle Cancer Care Alliance | Prosthetic/Orthotic Supplier | 207 Pontius Ave N, Suite 101, Seattle, WA 98109-5650 | 2011-07-15 |
| 1457645426 | Rcm Enterprise, LLC | Prosthetic/Orthotic Supplier | 8526 Delphi Rd Sw, Olympia, WA 98512-9349 | 2011-06-07 |
| 1417255019 | Beauty N Kurves LLC | Prosthetic/Orthotic Supplier | 513 1st Ave W, Seattle, WA 98119-3925 | 2011-03-05 |
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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.