NPIMap

Organization Active NPI

Just for Kids

  • Occupational Therapist
  • Simpsonville, SC
National Provider Identifier
1285884163
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2578 Issued in SC
Legal business name
JUST FOR KIDS
Practice address
11 Martele CT
Simpsonville, SC 29680-7615
Phone
(864) 962-6832
NPI assigned
Sep 26, 2008
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Ms. Angela Nicole Boyd, MSR, OTR/LNPI 1053578724
Title
Owner
Phone
(864) 962-6832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2578 SC Primary

Addresses

Primary practice location

11 Martele CT
Simpsonville, SC 29680-7615

Mailing address

11 Martele CT
Simpsonville, SC 29680-7615
Phone (864) 962-6832

Other identifiers 4

IdentifierTypeStateIssuer
1053578724OtherSCNPI
1487735700OtherSCNPI
889545700MedicaidFL
TH1231MedicaidSC

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": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1285884163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MARTELE CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807615",
            "telephone_number": "864-962-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MARTELE CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807615",
            "telephone_number": "864-962-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-962-6832",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSR, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053578724",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487735700",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889545700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1231",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.