Tadpole Pediatric Therapy Services PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

TADPOLE PEDIATRIC THERAPY SERVICES PLLC

Practice address

1309 Morningside Dr
Charlotte, NC 28205-5326

Phone

(704) 302-7861

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Kelly Weynand, MS, OTR/LNPI 1235647215

Title

Organizer

Phone

(704) 302-7861

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly Lawler Weynand, OTR/L

  • Pediatric Occupational Therapist
  • Charlotte, NC
  • NPI 1235647215

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1457057549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 MORNINGSIDE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055326",
            "telephone_number": "704-302-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 MORNINGSIDE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055326",
            "telephone_number": "704-302-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADPOLE PEDIATRIC THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "WEYNAND",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "704-302-7861",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Ernestine Tack, MS, LPC, LCAS, CCS
• Kyle Tackeberry
• Vaibhav Rohan Tadepalli, MD
• Armand Tadjali, MD
• Jordan Elise Tadlock, MMFT
• Mark Keyan Tadrissi, D.D.S.
• Arti Ajmani Taggar, MD
• Tah Family Corp
• Amir Magdy Abdelrouf Taha, DMD
• Tailor Made Care Services Group

• Pediatric Occupational Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.