Amazing Kids LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC006656L Issued in PA

Legal business name

AMAZING KIDS LLC

Practice address

54 Marlin St
Brookville, PA 15825-1016

Phone

(814) 715-5738

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Laura Michelle Hertel, OTR

Title

Owner

Phone

(814) 715-5738

Specialties & licenses 2

Addresses

Other identifiers 1

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

• Brittany Ann Bartolone

  • Speech-Language Pathologist
  • Brookville, PA
  • NPI 1023406600
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1255459384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MARLIN ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251016",
            "telephone_number": "814-715-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MARLIN ST",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251016",
            "telephone_number": "814-715-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "HERTEL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-715-5738",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006656L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006801L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "1014774800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brookville, PA
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.