Organization Active NPI

Spot Kids Therapy, Inc.

  • Pediatric Occupational Therapist
  • La Jolla, CA
National Provider Identifier
1306251772
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
7769 Issued in CA
Legal business name
SPOT KIDS THERAPY, INC.
Practice address
7632 Herschel Ave
La Jolla, CA 92037-4403
Phone
(858) 459-7768
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Jenny Burke
Title
Owner
Phone
(858) 459-7768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 7769 CA Primary

Addresses

Primary practice location

7632 Herschel Ave
La Jolla, CA 92037-4403

Mailing address

7632 Herschel Ave
La Jolla, CA 92037-4403

National Provider Directory

National Provider Directory

Locations

7632 Herschel Ave
La Jolla, CA 92037
Phone (858) 459-7768

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1306251772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 HERSCHEL AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 HERSCHEL AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374403",
            "telephone_number": "858-459-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT KIDS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-459-7768"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "7769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.