MINI MIRACLES PEDIATRIC THERAPY, PLLC
NPI 1477991560
Early Intervention Provider Agency in Johnson City, TN

Q: What is Mini Miracles Pediatric Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

Active since June 11, 2013

2214 E FAIRVIEW AVE, JOHNSON CITY, TN 37601(423) 928-6464(423) 232-7970 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mini Miracles Pediatric Therapy, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINI MIRACLES PEDIATRIC THERAPY, PLLC (NPI 1477991560) is a healthcare organization registered as an early intervention provider agency in Johnson City, Tennessee and active in the NPI registry since June 2013. The organization lists Douglas Edwin Brown, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1477991560

Entity TypeOrganization

Primary Taxonomy252Y00000X

Legal Business NameMINI MIRACLES PEDIATRIC THERAPY, PLLC

Location Address2214 E FAIRVIEW AVEJohnson City, TN 37601-2860

Mailing AddressPo Box 191Johnson City, TN 37605-0191 · (423) 534-8897 · Fax (423) 328-8662

Phone(423) 928-6464

Fax(423) 232-7970

Organization SubpartNo

Authorized OfficialDouglas Edwin BrownCeo/owner · (601) 624-1237

Enumeration DateJune 11, 2013

Last NPPES UpdateOctober 3, 2023

NPPES CertifiedOctober 3, 2023

✔ NPI 1477991560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies

Taxonomy Code252Y00000X

License✔ Licensed in VA · 4611

Definition

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.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License 0119003962 (VA)

2214 E FAIRVIEW AVE, Johnson City, TN 37601

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Other Identifiers 1

Medicaid1477991560VA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ABIGALE GRIMM MCD, CCC-SLP

Speech-Language Pathologist