NPIMap

Organization Active NPI

Kids Connection Developmental Therapy Center

  • Pediatric Occupational Therapist
  • Simi Valley, CA
National Provider Identifier
1366871808
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT9265 Issued in CA
Legal business name
KIDS CONNECTION DEVELOPMENTAL THERAPY CENTER
Practice address
2665 Park Center Dr Ste D
Simi Valley, CA 93065-6200
Phone
(805) 416-3384
Fax
(800) 513-8020
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Cynthia Conway, OTNPI 1043459340
Title
President
Phone
(805) 416-3384

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
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X OT9265 CA Primary

Addresses

Primary practice location

2665 Park Center Dr Ste D
Simi Valley, CA 93065-6200

Mailing address

160 W Cochran St
Simi Valley, CA 93065-6215
Phone (805) 416-3384

Other practice location 1

9518 9th St
Rancho Cucamonga, CA 91730-4585
Phone (909) 443-9919

Other practice location 2

36 Zaca Ln
San Luis Obispo, CA 93401-7344
Phone (805) 864-6641

National Provider Directory

National Provider Directory

Locations

9518 9th St
Rancho Cucamonga, CA 91730
Phone (909) 443-9919

36 Zaca Ln
San Luis Obispo, CA 93401
Phone (805) 864-6641

2665 Park Center Dr
Ste D
Simi Valley, CA 93065
Phone (805) 416-3384

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366871808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W COCHRAN ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656215",
            "telephone_number": "805-416-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 PARK CENTER DR STE D",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656200",
            "telephone_number": "805-416-3384",
            "fax_number": "800-513-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9518 9th St",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304585",
            "country_code": "US",
            "telephone_number": "909-443-9919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 Zaca Ln",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934017344",
            "country_code": "US",
            "telephone_number": "805-864-6641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS CONNECTION DEVELOPMENTAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2025-09-11",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-416-3384",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT9265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.