NPIMap

Organization Active NPI

Kidabilities, LLC

  • Pediatric Occupational Therapist
  • Frisco, CO
National Provider Identifier
1457735078
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
4328 Issued in CO
Legal business name
KIDABILITIES, LLC
Practice address
708 Lagoon Drive Unit C
Frisco, CO 80443-2241
Phone
(505) 550-1428
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Gina Luck, MOTR/LNPI 1821194481
Title
Pediatric Occupational Therapist
Phone
(505) 550-1428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 4328 CO Primary

Addresses

Primary practice location

708 Lagoon Drive Unit C
Frisco, CO 80443-2241

Mailing address

PO Box 2241
Frisco, CO 80443-2241
Phone (505) 550-1428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1457735078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2241",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804432241",
            "telephone_number": "505-550-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 LAGOON DRIVE UNIT C",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804432241",
            "telephone_number": "505-550-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDABILITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "LUCK",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PEDIATRIC OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "505-550-1428",
        "authorized_official_credential": "MOTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.