Active NPI
Kid Works Occupational Therapy LLC
- Pediatric Occupational Therapist
- Charleston, SC
National Provider Identifier
1619345824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen A Ilgen, OTR/L
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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 DirectoryLocations
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.