Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Speech-Language Assistant |
2355S0801X | |||
Environmental Modification |
224ZE0001X | |||
Environmental Modification |
225XE0001X | 67 | Occupational Therapist in Private Practice | |
Feeding, Eating & Swallowing |
225XF0002X | 67 | Occupational Therapist in Private Practice | |
Feeding, Eating & Swallowing |
224ZF0002X | |||
Mental Health |
225XM0800X | 67 | Occupational Therapist in Private Practice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Occupational Therapy Assistant |
224Z00000X | |||
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice | |
Pediatrics |
225XP0200X | 67 | Occupational Therapist in Private Practice | |
Pediatrics |
2251P0200X | 65 | Physical Therapist in Private Practice | |
Physical Rehabilitation |
225XP0019X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Physical Therapy Assistant |
225200000X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1467849505 |
| LBN Legal business name | OPEN DOOR PEDIATRIC THERAPY, LLC |
| Authorized official | AMBER HUMPHREY - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/15/2015 |
| Last updated | 07/11/2024 - More than a year ago |
| Identifiers | n/a |
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