# CHILDSERVE THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDSERVE INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679614754
- **Legal business name:** CHILDSERVE INC.
- **Authorized official:** JENNIFER PAVLOVEC (DIRECTOR OF FINANCE)
- **Authorized official phone:** (515) 727-1463

## Contact information

- **Practice address:** 5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
- **Practice address phone:** (515) 727-8750
- **Practice address fax:** (515) 727-8757
- **Mailing address:** PO BOX 707, JOHNSTON, IA 50131-0707
- **Mailing address phone:** (515) 727-8750
- **Mailing address fax:** (515) 727-8757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | IA | — |
| 225200000X | Physical Therapy Assistant | — | IA | — |
| 225X00000X | Occupational Therapist | — | IA | — |
| 225XP0200X | Pediatric Occupational Therapist | — | IA | — |
| 231H00000X | Audiologist | — | IA | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 09/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0120113 | — | IA |
| 05 | — | 0665091 | — | IA |
| 01 | — | 110061 | HEALTH ALLIANCE | IA |
| 01 | — | 640002508 | RAILROAD MEDICARE | IA |
| 01 | — | 65443 | COVENTY | IA |
| 01 | — | 66509 | BCBS OF IOWA | IA |
| 01 | — | F245447 | MIDLAND'S CHOICE | IA |