Organization Active NPI

Kid Works Occupational Therapy LLC

  • Pediatric Occupational Therapist
  • Charleston, SC
National Provider Identifier
1619345824
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
KID WORKS OCCUPATIONAL THERAPY LLC
Practice address
1595 Savannah Hwy
Ste 3
Charleston, SC 29407-7820
Phone
(843) 991-2694
Fax
(843) 405-1316
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Karen A Ilgen, OTR/LNPI 1982773016
Title
Member
Phone
(843) 991-2694

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

1595 Savannah Hwy
Ste 3
Charleston, SC 29407-7820

Mailing address

1152 Wellington Dr
Charleston, SC 29412-4846
Phone (843) 991-2694

National Provider Directory

National Provider Directory

Locations

1595 Savannah Hwy
Ste 3
Charleston, SC 29407
Phone (843) 991-2694

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1619345824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 WELLINGTON DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124846",
            "telephone_number": "843-991-2694",
            "fax_number": "843-405-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SAVANNAH HWY",
            "address_2": "STE 3",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077820",
            "telephone_number": "843-991-2694",
            "fax_number": "843-405-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID WORKS OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "ILGEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "843-991-2694",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.