Kidworks LLC

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

KIDWORKS LLC

Practice address

1120 S Calumet Rd
Suite3
Chesterton, IN 46304-3285

Phone

(219) 983-9675

Fax

(219) 983-9681

NPI assigned

Apr 28, 2009

Last updated

Apr 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Mangan

Title

Director of Operations

Phone

(219) 983-9675

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1427292887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S CALUMET RD",
            "address_2": "SUITE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043285",
            "telephone_number": "219-983-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S CALUMET RD",
            "address_2": "SUITE3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043285",
            "telephone_number": "219-983-9675",
            "fax_number": "219-983-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "MANGAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "219-983-9675",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily A Kellogg
• Robbin Kern
• Mackenzie Rae Ketterhagen, PA-C
• Melissa Kaye Khosla, DOT
• Kidworks
• Kidworks, LLC
• Alisa E Kilpatrick Small, MS, OTR/L
• Denise Colleen King, NP-C
• Jersey Lynn King
• Jodi King, CPTA

• Developmental Therapist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Developmental Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.