King of Kings Therapy Consultants LLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

KING OF KINGS THERAPY CONSULTANTS LLC

Practice address

10529 W Edgemont Dr
Avondale, AZ 85392-4654

Phone

(623) 570-7955

NPI assigned

Apr 26, 2019

Organization subpart

No

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

Authorized official

Name

Damon King, OT/L

Title

OT

Phone

(623) 570-7955

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1225692189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10529 W EDGEMONT DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924654",
            "telephone_number": "623-570-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10529 W EDGEMONT DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924654",
            "telephone_number": "623-570-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF KINGS THERAPY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OT",
        "authorized_official_telephone_number": "623-570-7955",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Rehabilitation Occupational Therapist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Physical Rehabilitation Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.