Organization Active NPI

Kim4Kids, LLC

  • Pediatric Occupational Therapist
  • Metairie, LA
National Provider Identifier
1477914505
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTTZ12169 Issued in LA
Legal business name
KIM4KIDS, LLC
Practice address
4517 Lorino St
Metairie, LA 70006-2323
Phone
(504) 430-2738
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Miss Kimberly Ann Bradley, MS, LOTRNPI 1689707309
Title
Owner
Phone
(504) 430-2738

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: 193400000X SINGLE SPECIALTY GROUP 225XP0200X OTTZ12169 LA Primary

Addresses

Primary practice location

4517 Lorino St
Metairie, LA 70006-2323

Mailing address

5220 Jasper St.
Metairie, LA 70006
Phone (504) 430-2738

National Provider Directory

National Provider Directory

Locations

2237 N Hullen St
Ste 202
Metairie, LA 70001
Phone (504) 517-5437

4317 El Dorado St
Metairie, LA 70006
Phone (504) 291-6207

4517 Lorino St
Metairie, LA 70006
Phone (504) 454-3015

Practitioners & affiliated clinicians

Practitioners 12

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": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1477914505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 JASPER ST.",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-430-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4517 LORINO ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062323",
            "telephone_number": "504-430-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM4KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-430-2738",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, LOTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "OTTZ12169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.