GREENHOUSE PEDIATRIC THERAPY – NPI #1316350036
Clinic/Center

GREENHOUSE PEDIATRIC THERAPY is an AHC clinic located in BROKEN ARROW, OK. NPPES has assigned the NPI number 1316350036 to GREENHOUSE PEDIATRIC THERAPY on June 10, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GREENHOUSE PEDIATRIC THERAPY” is a dba name, the actual legal business name for this organization is KASSIE PECK, PLLC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 5 years ago on Jul 13, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREENHOUSE PEDIATRIC THERAPY below.

NPI Profile for
KASSIE PECK, PLLC

NPI Number
1316350036
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KASSIE PECK, PLLC
Doing Business As (dba): GREENHOUSE PEDIATRIC THERAPY
Primary location
2033 W. HOUSTON STREET
BROKEN ARROW, OK 74012
Phone: (405) 537-9101 Fax: (918) 512-4823
Mailing address
2033 W HOUSTON STREET
BROKEN ARROW, OK 74012
Phone: (405) 537-9101 Fax: (918) 512-4823
Organization Subpart
No
Authorized Official
KASSIE ALLISON
OWNER
Phone: (918) 404-1535
Updated
Certification Date
Jul 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.