NPIMap

Organization Active NPI

Creative Wonders OT PT SLP PLLC

Doing business as wonderkids therapy center

  • Early Intervention Provider Agency
  • White Plains, NY
National Provider Identifier
1306098553
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CREATIVE WONDERS OT PT SLP PLLC
Doing business as
wonderkids therapy center
Practice address
470 Mamaroneck Ave
Suite 204
White Plains, NY 10605-1830
Phone
(914) 421-8270
NPI assigned
Oct 21, 2008
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
David Green, OTR/LNPI 1366695108
Title
Owner and Director
Phone
(914) 421-8270

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

470 Mamaroneck Ave
Suite 204
White Plains, NY 10605-1830

Mailing address

470 Mamaroneck Ave Ste 412
White Plains, NY 10605-1839
Phone (914) 421-8270

Other practice location 1

101 S Bedford Rd Ste 404
Mount Kisco, NY 10549-3455
Phone (914) 421-8270 ext. 2

Other names 1

  • wonderkids therapy center Doing business as

National Provider Directory

National Provider Directory

Locations

470 Mamaroneck Ave
Ste 204
White Plains, NY 10605
Phone (914) 421-8270

470 Mamaroneck Ave
Ste 412
White Plains, NY 10605
Phone (914) 421-8270

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1306098553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MAMARONECK AVE STE 412",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051839",
            "telephone_number": "914-421-8270",
            "fax_number": "914-421-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MAMARONECK AVE",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051830",
            "telephone_number": "914-421-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Bedford Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Mount Kisco",
            "state": "NY",
            "postal_code": "105493455",
            "country_code": "US",
            "telephone_number": "914-421-8270 x2",
            "fax_number": "914-421-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE WONDERS OT PT SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER AND DIRECTOR",
        "authorized_official_telephone_number": "914-421-8270",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wonderkids therapy center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.