NPIMap

Organization Active NPI

Great Kids Place, LLC

  • Pediatric Occupational Therapist
  • Rockaway, NJ
National Provider Identifier
1396207940
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
GREAT KIDS PLACE, LLC
Practice address
21 Pine St Ste 205
Rockaway, NJ 07866-3130
Phone
(973) 586-8396
NPI assigned
Apr 3, 2019
Last updated
Apr 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Michele Lynn Parkins
Title
Owner
Phone
(973) 224-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

21 Pine St Ste 205
Rockaway, NJ 07866-3130

Mailing address

21 Pine St Ste 205
Rockaway, NJ 07866-3130
Phone (973) 586-8396

National Provider Directory

National Provider Directory

Locations

21 Pine St
Ste 205
Rockaway, NJ 07866
Phone (973) 586-8396

Practitioners & affiliated clinicians

Practitioners 3

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": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1396207940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PINE ST STE 205",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663130",
            "telephone_number": "973-586-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PINE ST STE 205",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663130",
            "telephone_number": "973-586-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT KIDS PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "PARKINS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-224-1028"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.