Organization Active NPI

Occupational Therapy Services for Kids

  • Pediatric Occupational Therapist
  • Crown Point, IN
National Provider Identifier
1548556921
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
31004163A Issued in IN
Legal business name
OCCUPATIONAL THERAPY SERVICES FOR KIDS
Practice address
11095 Whitcomb St
Crown Point, IN 46307-3603
Phone
(219) 746-1650
Fax
(219) 663-3977
NPI assigned
Jun 23, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Mrs. Dawn M Rossi, M.O.T., O.T.R.NPI 1720029309
Title
Occupational Therapist
Phone
(219) 746-1650

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 Therapist 225XP0200X 31004163A IN Primary

Addresses

Primary practice location

11095 Whitcomb St
Crown Point, IN 46307-3603

Mailing address

11095 Whitcomb St
Crown Point, IN 46307-3603
Phone (219) 746-1650

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1548556921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11095 WHITCOMB ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073603",
            "telephone_number": "219-746-1650",
            "fax_number": "219-663-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11095 WHITCOMB ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073603",
            "telephone_number": "219-746-1650",
            "fax_number": "219-663-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY SERVICES FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "219-746-1650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.O.T., O.T.R."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IN",
            "license": "31004163A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.