OrganizationActive
Innovative Pediatrics LLC
NPI 1699525576 · Early Intervention Provider Agency · Garden City, MO
Provider details
- NPI number
- 1699525576
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Skyler Jacobson, Owner(913) 961-7514
Specialties & taxonomies
Agencies
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Assistant2355S0801X
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
103 Sharon Ln
Garden City, MO 64747-9201
Phone: (913) 961-7514
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 756
Harrisonville, MO 64701-0756
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.