NPIMap

Organization Active NPI

Amazing Kids LLC

  • Occupational Therapist
  • Brookville, PA
National Provider Identifier
1255459384
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Laura Michelle Hertel, OTRNPI 1588798987
Title
Owner
Phone
(814) 715-5738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OC006656L PA Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OC006801L PA

Addresses

Primary practice location

54 Marlin St
Brookville, PA 15825-1016

Mailing address

54 Marlin St
Brookville, PA 15825-1016
Phone (814) 715-5738

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, PA

Sources for this page

  • 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.