Capable Kids Pediatric Therapy, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CAPABLE KIDS PEDIATRIC THERAPY, INC.

Practice address

9100 Airdrome St
Los Angeles, CA 90035-4215

Phone

(541) 980-5129

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Macy Rhea Crenshaw, OTR/L

Title

Owner

Phone

(541) 980-5129

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1619676368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 AIRDROME ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 AIRDROME ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354215",
            "telephone_number": "541-980-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPABLE KIDS PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "RHEA CRENSHAW",
        "authorized_official_first_name": "MACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-980-5129",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Cao, MD
• Tina Cao
• Wenjing Cao
• Yun Anna Cao, D.O.
• Veronica Caoile
• Briana Alyssa Caparros
• Reina Capati, RD
• Evin Capel
• Renee M Capeloto, LCSW
• MC Lavern Capian Capiendo

• Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.