Active NPI
Kidabilities, PA
- Pediatric Occupational Therapist
- Greenville, NC
National Provider Identifier
1598929259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3600
- Legal business name
- KIDABILITIES, PA
- Practice address
- 4077 Hams Woods LN
Greenville, NC 27858-8206 - Phone
- (252) 916-5022
- NPI assigned
- Jul 11, 2008
- Last updated
- Jul 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Christine Nay, OTR/L
- Title
- Shareholder
- Phone
- (252) 916-5022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 3600 | NC | Primary |
Addresses
Primary practice location
4077 Hams Woods LN
Greenville, NC 27858-8206
Mailing address
4077 Hams Woods LN
Greenville, NC 27858-8206
Phone (252) 916-5022
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1598929259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4077 HAMS WOODS LN",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278588206",
"telephone_number": "252-916-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4077 HAMS WOODS LN",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278588206",
"telephone_number": "252-916-5022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDABILITIES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-11",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "NAY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "CHRISTINE",
"authorized_official_title_or_position": "SHAREHOLDER",
"authorized_official_telephone_number": "252-916-5022",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "3600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.