The Kids OT Workshop, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

66586 Issued in NY

Legal business name

THE KIDS OT WORKSHOP, LLC

Practice address

213 Hallock Rd
Suite 2 B
Stony Brook, NY 11790-3000

Phone

(631) 751-2227

NPI assigned

Jul 30, 2008

Organization subpart

No

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

Authorized official

Name

Karen Angela Ward, MS OTR/L

Title

Director/ President

Phone

(631) 751-2227

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1457517450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HALLOCK RD",
            "address_2": "SUITE 2 B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903000",
            "telephone_number": "631-751-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HALLOCK RD",
            "address_2": "SUITE 2 B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903000",
            "telephone_number": "631-751-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDS OT WORKSHOP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR/ PRESIDENT",
        "authorized_official_telephone_number": "631-751-2227",
        "authorized_official_credential": "MS  OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "66586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Vimesh Thakar, MD
• Harsha J Thakkar, MD
• Mathew Alexander Tharakan, MD
• Antonia Tharian, M.D
• Mary Kristin Thayer, FNP-C
• The Nguyen Center, Inc.
• The Speech Language Place
• The Speech Language Place, SLP, PC
• The Speech Language Place, SLP, PC
• Theofanis Mitsinikos, DO, PC

• Pediatric Occupational Therapist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.