Organization Active NPI

Smply OT LLC

  • Pediatric Occupational Therapist
  • Clifton, NJ
National Provider Identifier
1083259006
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
SMPLY OT LLC
Practice address
120 Long Hill Dr
Clifton, NJ 07013-2323
Phone
(914) 469-6402
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Kristin Maria Otero, OTR/L
Title
Occupational Therapist/Owner
Phone
(914) 469-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

120 Long Hill Dr
Clifton, NJ 07013-2323

Mailing address

120 Long Hill Dr
Clifton, NJ 07013-2323

National Provider Directory

National Provider Directory

Locations

393 Piaget Ave
#102
Clifton, NJ 07011
Phone (201) 777-0856

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1083259006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LONG HILL DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LONG HILL DR",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132323",
            "telephone_number": "914-469-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMPLY OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "914-469-6402",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.