NPIMap

Organization Active NPI

Kidspace LLC

Doing business as Briana M. Harris, OTD, OTR/L

  • Occupational Therapist
  • La Crosse, WI
National Provider Identifier
1144973462
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
KIDSPACE LLC
Doing business as
Briana M. Harris, OTD, OTR/L
Coulee Kidspace
Kidspace
Practice address
531 Main St
La Crosse, WI 54601-4022
Phone
(608) 812-8787
NPI assigned
Jan 27, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Dr. Briana M Harris, OTD, OTR/LNPI 1669619946
Title
Owner, Operator, Otr/L
Phone
(608) 234-8119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

531 Main St
La Crosse, WI 54601-4022

Mailing address

531 Main St
La Crosse, WI 54601-4022
Phone (608) 812-8787

Other identifiers 1

IdentifierTypeStateIssuer
100153371MedicaidWI

Other names 3

  • Briana M. Harris, OTD, OTR/L Doing business as
  • COULEE KIDSPACE Doing business as
  • KIDSPACE Doing business as

National Provider Directory

National Provider Directory

Locations

531 Main St
La Crosse, WI 54601
Phone (608) 812-8787

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": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1144973462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014022",
            "telephone_number": "608-812-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014022",
            "telephone_number": "608-812-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, OPERATOR, OTR/L",
        "authorized_official_telephone_number": "608-234-8119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100153371",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briana M. Harris, OTD, OTR/L",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COULEE KIDSPACE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KIDSPACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.