Fairview Pediatric Therapy
LBN: Fairview Pediatric Therapy
Fairview Pediatric Therapy is an health care organization with primary practice located at 2092 Fairview Blvd Ste 103 , Fairview TN 37062-6012. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty.
Fairview Pediatric Therapy can be contacted via phone (629) 250-9317, or through Bruce, Kelly via phone (615) 582-2942.
Contact Information
Primary practice address
2092 Fairview Blvd Ste 103
Fairview TN 37062-6012
Phone: (629) 250-9317
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1659008027 |
|---|---|
| LBN Legal business name | Fairview Pediatric Therapy |
| DBA Doing business as | |
| Authorized official | Bruce, Kelly MOT, OTR/L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2022 |
| Last updated | Aug 25th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659008027 | NPPES |
| Tennessee | MEDICAID | Q004435 | |
| Tennessee | MEDICAID | Q031734 |
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