Kidd's Connect OT, L.L.C.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

KIDD'S CONNECT OT, L.L.C.

Practice address

2457 Fairview Farm Rd
Asheboro, NC 27205-8633

Phone

(336) 870-7860

Fax

(336) 458-9460

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Leslie Mize Kidd, OT/LNPI 1629129929

Title

Occupational Therapist/Licensed

Phone

(336) 870-7860

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 2

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

• Leslie Mize Kidd, OTL

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1629129929
  NPD Authorized official
• Sierra Smith, OTR/L

  • Occupational Therapist
  • Eden, NC
  • NPI 1669229027
  NPD

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1215510680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 FAIRVIEW FARM RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272058633",
            "telephone_number": "336-870-7860",
            "fax_number": "336-458-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 FAIRVIEW FARM RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272058633",
            "telephone_number": "336-870-7860",
            "fax_number": "336-458-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDD'S CONNECT OT, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MIZE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/LICENSED",
        "authorized_official_telephone_number": "336-870-7860",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00190815",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KGR Health and Wellness Academy, LLC
• Khan DDS (Kania & Khan Orthodontics)
• Jaber A. Khan, MD
• Isaac Scott Kidd
• Leslie Marie Kidd, MSW, LCSW-P
• Lauren M Kime, NP-C
• Stephen W Kimmel, M.D.
• Fred G King Jr., OD
• Jacqueline Elizabeth King, FNP-C
• Ronald L. King, NP

• Occupational Therapist in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.