Wildflower Therapy Services, LLC
Occupational Therapist in South Pittsburg, TN. Organization (NPI-2).
NPI number1639763543
StatusActive
Last updated in NPPESFeb 22, 2021
Details
- NPI
- 1639763543
- Entity type
- Organization (NPI-2)
- Legal business name
- Wildflower Therapy Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2021
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Other names
- Wts LLC (Doing Business As)
Practice location
525 Lodge LnSouth Pittsburg, TN 37380-6439
Phone 423-455-8356
Mailing address
525 Lodge LnSouth Pittsburg, TN 37380-6439
Authorized official
Stephanie Cooper
Director
4234558358
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