Active NPI
Just 4 Kids
- Pediatric Occupational Therapist
- Sayre, PA
National Provider Identifier
1629523741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OC011615
- Legal business name
- JUST 4 KIDS
- Practice address
- 1766 Elmira St # 166
Sayre, PA 18840-9250 - Phone
- (570) 423-9440
- NPI assigned
- Aug 18, 2016
- 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
- Katie Tiffany, MS, OTR/L
- Title
- Occupational Therapist
- Phone
- (570) 423-9440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OC011615 | PA | Primary |
Addresses
Primary practice location
1766 Elmira St # 166
Sayre, PA 18840-9250
Mailing address
1766 Elmira St # 166
Sayre, PA 18840-9250
Phone (570) 423-9440
National Provider Directory
National Provider DirectoryLocations
1766 Elmira St
Sayre, PA 18840
Phone (570) 332-2624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1629523741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1766 ELMIRA ST # 166",
"city": "SAYRE",
"state": "PA",
"postal_code": "188409250",
"telephone_number": "570-423-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1766 ELMIRA ST # 166",
"city": "SAYRE",
"state": "PA",
"postal_code": "188409250",
"telephone_number": "570-423-9440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST 4 KIDS",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "TIFFANY",
"authorized_official_first_name": "KATIE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "570-423-9440",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "PA",
"license": "OC011615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.