Organization Active NPI

KLG Pediatric Therapy, LLC

  • Occupational Therapist
  • Marlton, NJ
National Provider Identifier
1083914204
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00171400 Issued in NJ
Legal business name
KLG PEDIATRIC THERAPY, LLC
Practice address
851 Route 73 N Ste C
Marlton, NJ 08053-1275
Phone
(856) 872-2067
Fax
(877) 275-5941
NPI assigned
Oct 22, 2010
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Katrina L Guzzetti, OTR/LNPI 1922318674
Title
President
Phone
(609) 254-2416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00171400 NJ Primary

Addresses

Primary practice location

851 Route 73 N Ste C
Marlton, NJ 08053-1275

Mailing address

22 Pelham Dr
West Deptford, NJ 08051-1737
Phone (609) 254-2416

National Provider Directory

National Provider Directory

Locations

1919 Greentree Rd
Ste C
Cherry Hill, NJ 08003
Phone (856) 751-1937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1083914204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PELHAM DR",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080511737",
            "telephone_number": "609-254-2416",
            "fax_number": "877-275-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 ROUTE 73 N STE C",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531275",
            "telephone_number": "856-872-2067",
            "fax_number": "877-275-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLG PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "GUZZETTI",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-254-2416",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00171400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.