Eat Play Grow OT LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EAT PLAY GROW OT LLC

Practice address

120 Center St Ste 109
Auburn, ME 04210-6339

Phone

(207) 312-8437

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Kayla KimNPI 1467087379

Title

Owner/Occupational Therapist

Phone

(207) 312-8437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kayla Kim

  • Occupational Therapist
  • Auburn, ME
  • NPI 1467087379
  NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1487417895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 EAST AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405515",
            "telephone_number": "207-312-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTER ST STE 109",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106339",
            "telephone_number": "207-312-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT PLAY GROW OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "207-312-8437"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467087379",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Dunn, OTR/L
• James Preston Dunn, D.M.D.
• W Thomas Dunn Jr., M.D.
• Jillian Elizabeth Duplissis
• Adam Duquette, DO
• Noemie Echols, DNP, FNP-C
• Patricia Ann Edwards
• Amr M Elebiary, RPH
• Peter H. Elias, MD
• Elysium Residential Services

• Occupational Therapist in Auburn, ME
• Providers in Auburn, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.