Hawthorne Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

HAWTHORNE PEDIATRIC THERAPY, LLC

Practice address

173 Pasadena PL
Hawthorne, NJ 07506-2838

Phone

(201) 500-8014

NPI assigned

Jan 30, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Stanton William Sheridan II, MS, OTRNPI 1386015410

Title

Owner

Phone

(201) 500-8014

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: stan@hawthornepediatrictherapy.com

Practitioners 1

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

• Stanton William Sheridan II, OTR/L

  • Occupational Therapist
  • Morristown, NJ
  • NPI 1386015410
  NPD Authorized official

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1598418675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 PASADENA PL",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062838",
            "telephone_number": "201-500-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 PASADENA PL",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062838",
            "telephone_number": "201-500-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-500-8014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MS, OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stan@hawthornepediatrictherapy.com",
            "affiliation": "N",
            "address_1": "173 Pasadena Pl",
            "city": "Hawthorne",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "075062838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hawthorne Dental Associates PC
• Hawthorne Family Dentistry
• Hawthorne Family Practice
• Hawthorne Integrated Medicine, LLC
• Hawthorne Pain & Spine Center
• Hawthorne Pediatrics, LLC
• Hawthorne Sports and Spine
• Dana Heinold, M.S., CCC-SLP
• Erika Hernandez
• Stephanie Sharon Hernandez, LCSW

• Pediatric Occupational Therapist in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; 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.