Therapy Place 4 Kids

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

12467 Issued in CA

Legal business name

THERAPY PLACE 4 KIDS

Practice address

1932 14TH St
Santa Monica, CA 90404-4605

Phone

(949) 683-0884

NPI assigned

Dec 6, 2014

Last updated

Feb 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Gardener, OTD, OTR/L, SWC, CASNPI 1922402965

Title

Owner/Manager

Phone

(310) 344-2276

Specialties & licenses 3

Addresses

Other names 1

• OT For Kids, A Professional Corporation Former legal business name

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Gardener, OTD, OTR/L, SWC

  • Pediatric Occupational Therapist
  • Santa Monica, CA
  • NPI 1922402965

  Pediatrics

  NPD Authorized official
• Jennifer Beth Ross, COTA/L

  • Occupational Therapy Assistant
  • Santa Monica, CA
  • NPI 1841720232
  NPD

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

{
    "created_epoch": "1417824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1508264623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 14TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 14TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044605",
            "telephone_number": "949-683-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY PLACE 4 KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-06",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "GARDENER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "310-344-2276",
        "authorized_official_credential": "OTD, OTR/L, SWC, CAS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "12467",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@tp4k.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Santa Monica",
            "address_1": "1932 14th St",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904044605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OT For Kids, A Professional Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "OT For Kids, A Professional Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• The Surgery Center
• Nicolette Theard, PT
• Michelle M Theis-Black, PTA
• Walter Kurt Theis II, M.D.
• Therapeutic Arts Marriage and Family Therapy, Inc.
• Therapy Place, P.C.
• Erika Thiede, RDN
• Andrew Paul Thierry, MD
• This Life PHD Psychology Inc (Sanam Ramzi Shamtobi)
• This Life PHD Psychology Inc

• Pediatric Occupational Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.