Innovative Pediatrics Llc

LBN: Innovative Pediatrics Llc
Innovative Pediatrics Llc is an health care organization with primary practice located at 103 Sharon Ln , Garden City MO 64747-9201. The organization recently has 8 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Local Education Agency (LEA), Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Innovative Pediatrics Llc can be contacted via phone (913) 961-7514, or through Jacobson, Skyler Marie via phone (913) 961-7514.

Contact Information

Primary practice address
103 Sharon Ln Garden City MO 64747-9201
Phone: (913) 961-7514
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Skyler Marie OTD, OTR/L
Phone: (913) 961-7514

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1699525576
LBN Legal business name Innovative Pediatrics Llc
DBA Doing business as
Authorized official Jacobson, Skyler Marie OTD, OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2024
Last updated Mar 25th, 2024 - about 9 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699525576 NPPES
Missouri MEDICAID 1194588970

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