Organization Active NPI

Yay OT 4 Kids, LLC

  • Specialist
  • Wilmington, NC
National Provider Identifier
1225586324
Registry record updated Sep 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3841 Issued in NC
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

Updated by the provider on Sep 17, 2016

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
170090636MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.