Kites Pediatrics Occupational Therapy, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

584812 Issued in OR

Legal business name

KITES PEDIATRICS OCCUPATIONAL THERAPY, INC.

Practice address

3700 River Rd N Ste 1
Keizer, OR 97303-5699

Phone

(503) 569-3932

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Carmen Rojas Larrazabal, OTR/L

Title

Director

Phone

(503) 569-3932

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1437637683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973080624",
            "telephone_number": "503-569-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 RIVER RD N STE 1",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035699",
            "telephone_number": "503-569-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITES PEDIATRICS OCCUPATIONAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "ROJAS LARRAZABAL",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-569-3932",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "584812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Richard Kenagy
• Brendan Charles Kennedy, CADC II, BS
• Erum S Khaleeq
• Caroline Louise King-Widdall, M.D.
• Katie King, CADC I
• Kamryn Klassen
• Laura Kline, RPH
• Johan Kohler, D.O.
• Teresa Beth Kozell-Wingett
• Larisa Kravchuk

• Occupational Therapist in Keizer, OR
• Providers in Keizer, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.