NPIMap

Organization Active NPI

Springboard Pediatric Therapy Corp

  • Pediatric Occupational Therapist
  • Whippany, NJ
National Provider Identifier
1184285348
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
SPRINGBOARD PEDIATRIC THERAPY CORP
Practice address
100 S Jefferson Rd Ste 100
Whippany, NJ 07981-1009
Phone
(908) 334-2545
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Patricia O'Brien, OTNPI 1376834952
Title
Owner
Phone
(973) 971-0770

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

100 S Jefferson Rd Ste 100
Whippany, NJ 07981-1009

Mailing address

100 S Jefferson Rd Ste 100
Whippany, NJ 07981-1009
Phone (908) 334-2545

Other names 1

  • Springboard Pediatric Therapy Corp Doing business as

National Provider Directory

National Provider Directory

Locations

100 S Jefferson Rd
Ste 100
Whippany, NJ 07981
Phone (908) 334-2545

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1184285348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JEFFERSON RD STE 100",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811009",
            "telephone_number": "908-334-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JEFFERSON RD STE 100",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811009",
            "telephone_number": "908-334-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBOARD PEDIATRIC THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-971-0770",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springboard Pediatric Therapy Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.