Northshore Kids Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

200774 Issued in LA

Legal business name

NORTHSHORE KIDS THERAPY

Practice address

1524 Darlington St
Covington, LA 70433-6041

Phone

(210) 725-6438

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Brittany Creel, OTR

Title

Owner

Phone

(210) 725-6438

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1407259393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 DARLINGTON ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336041",
            "telephone_number": "210-725-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 DARLINGTON ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704336041",
            "telephone_number": "210-725-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "CREEL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-725-6438",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "200774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.