Organization Active NPI

Just 4 Kids

  • Pediatric Occupational Therapist
  • Sayre, PA
National Provider Identifier
1629523741
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OC011615 Issued in PA
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

Updated by the provider on Aug 18, 2016

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)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.