Active NPI
Yay OT 4 Kids, LLC
- Specialist
- Wilmington, NC
National Provider Identifier
1225586324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3841
- Legal business name
- YAY OT 4 KIDS, LLC
- Practice address
- 305 N 15TH St
Wilmington, NC 28401-3813 - Phone
- (910) 685-7007
- Fax
- (910) 516-1666
- NPI assigned
- Sep 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly McCall, OTR/L
- Title
- Owner/Therapist
- Phone
- (828) 582-7109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3841 | NC | Primary |
Addresses
Primary practice location
305 N 15TH St
Wilmington, NC 28401-3813
Mailing address
305 N 15TH St
Wilmington, NC 28401-3813
Phone (910) 685-7007
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170090636 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
305 N 15th St
Wilmington, NC 28401
Phone (910) 685-7007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474070400000",
"number": "1225586324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N 15TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284013813",
"telephone_number": "910-685-7007",
"fax_number": "910-516-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N 15TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284013813",
"telephone_number": "910-685-7007",
"fax_number": "910-516-1666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAY OT 4 KIDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-17",
"last_updated": "2016-09-17",
"status": "A",
"authorized_official_last_name": "MCCALL",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "828-582-7109",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "3841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170090636",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.