Sprouts Occupational Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SPROUTS OCCUPATIONAL THERAPY LLC

Practice address

17 Crest Dr
Midland Park, NJ 07432-1312

Phone

(201) 280-1739

NPI assigned

Sep 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Susan Aiello, MSOTNPI 1346709334

Title

Occupational Therapist

Phone

(201) 252-7070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Susan Aiello, MSOT

  • Occupational Therapist
  • Midland Park, NJ
  • NPI 1346709334
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569715200000",
    "number": "1013568237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CREST DR",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321312",
            "telephone_number": "201-252-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CREST DR",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321312",
            "telephone_number": "201-280-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTS OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A",
        "authorized_official_last_name": "AIELLO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "201-252-7070",
        "authorized_official_credential": "MSOT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Midland Park, NJ
• Providers in Midland Park, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.