Dynamic Pediatrics

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

108369 Issued in TX

Legal business name

DYNAMIC PEDIATRICS

Practice address

2501 S W S Young Dr Ste 413
Killeen, TX 76542-2006

Phone

(254) 616-1676

Fax

(254) 616-1677

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Kaye Caywood, OTRL

Title

Occupational Therapist

Phone

(254) 466-0740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1093930687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S W S YOUNG DR STE 413",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422006",
            "telephone_number": "245-616-1676",
            "fax_number": "254-616-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S W S YOUNG DR STE 413",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422006",
            "telephone_number": "254-616-1676",
            "fax_number": "254-616-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "CAYWOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "254-466-0740",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Duttine, LMSW
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• James R Eads, LCSW
• Niara Monet Eans, LMFT, LPC

• Occupational Therapist in Killeen, TX
• Providers in Killeen, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.