MINI MIRACLES PEDIATRIC THERAPY, PLLC
NPI 1477991560
Early Intervention Provider Agency in Johnson City, TN
NPI Status: Active since June 11, 2013
Contact Information
2214 E FAIRVIEW AVE
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 928-6464
Fax: (423) 232-7970
- Organization
- Early Intervention Provider Agency
- Accepts Insurance
About MINI MIRACLES PEDIATRIC THERAPY, PLLC
This page provides the complete NPI Profile along with additional information for Mini Miracles Pediatric Therapy, Pllc, a provider established in Johnson City, Tennessee operating as a Early Intervention Provider Agency. The healthcare provider is registered in the NPI registry with number 1477991560 assigned on June 2013. The practitioner's primary taxonomy code is 252Y00000X with license number 4611 (VA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Douglas Edwin Brown (Ceo/owner)
- NPI
- 1477991560
- Provider Name
- MINI MIRACLES PEDIATRIC THERAPY, PLLC
- Entity Type
- Organization
- Location Address
- 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601
- Location Phone
- (423) 928-6464
- Location Fax
- (423) 232-7970
- Mailing Address
- PO BOX 191 JOHNSON CITY, TN 37605
- Mailing Phone
- (423) 534-8897
- Mailing Fax
- (423) 232-7970
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2013
- Last Update Date
- 10-03-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Early Intervention Provider Agency
- Taxonomy Code
- 252Y00000X
- Type
- Agencies
- License No.
- 4611
- License State
- VA
- Taxonomy Description
- Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | 0119003962 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477991560 | MEDICAID (05) | VA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 9 | 9 | 1 | 5 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 18 | 9 | 2 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 8 + 9 + 2 + 5 + 1 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1477991560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891326864 | CELIA KATHERINE ROBINSON Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1144855685 | ROBERTA JAN BROWNLEE MA, LMFT Individual | Marriage & Family Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1376160556 | RACHAEL DAVIS Individual | Speech-Language Pathologist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1306450036 | KIRSTEN STACY Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1477142743 | KIRSTEN N STREET Individual | Speech-Language Pathologist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1982297081 | MACY CARRIER GRAY Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1265009971 | MICHELLE ANN CHIPPONERI Individual | Speech-Language Pathologist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1710554449 | LACEY A HARRIS Individual | Speech-Language Pathologist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1891268603 | SARAH ELIZABETH SHIPLEY Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1801451299 | FAITH C CAMBRON MORELOCK Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1124699145 | MYRIA JAN WEEMS Individual | Speech-Language Pathologist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1235895012 | BELKIS M WHITE Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1912652173 | CAROLINE L BARKLEY Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1093439804 | KYRA RAINES Individual | Physical Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1184311565 | JOHN LOGAN SAUNDERS Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1912606948 | JENNIFER HAMLIN Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1851080170 | SABRINA M WALKER Individual | Speech-Language Pathologist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1447934880 | SAVANAH PAULSEN Individual | Occupational Therapist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1245910702 | REBECCA M PATTON Individual | Speech-Language Pathologist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
| 1689075426 | KATIE POWELL MS, CCC-SLP Individual | Speech-Language Pathologist | 2214 E FAIRVIEW AVE JOHNSON CITY, TN 37601 (423) 928-6464 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477991560, enumerated in the NPI registry as an "organization" on June 11, 2013
The provider is located at 2214 E Fairview Ave Johnson City, Tn 37601 and the phone number is (423) 928-6464
This medical organization specializes in Early Intervention Provider Agency with taxonomy code 252Y00000X
The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 11, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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