Organization Active NPI

Kidabilities, PA

  • Pediatric Occupational Therapist
  • Greenville, NC
National Provider Identifier
1598929259
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3600 Issued in NC
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.