NPIMap

Organization Active NPI

Kidz Therapy Zone LLC

  • Pediatric Occupational Therapist
  • Allen, TX
National Provider Identifier
1639466519
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
108019 Issued in TX
Legal business name
KIDZ THERAPY ZONE LLC
Practice address
515 W Main St
Suite 111
Allen, TX 75013-8000
Phone
(214) 509-6961
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Jill Christiansen, OTRNPI 1922387224
Title
Managing Member
Phone
(214) 924-9213

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 108019 TX Primary

Addresses

Primary practice location

515 W Main St
Suite 111
Allen, TX 75013-8000

Mailing address

515 W Main St
Suite 111
Allen, TX 75013-8000
Phone (214) 509-6961

National Provider Directory

National Provider Directory
Tax ID family
Kidz Therapy Zone2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1639466519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "address_2": "SUITE 111",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138000",
            "telephone_number": "214-509-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W MAIN ST",
            "address_2": "SUITE 111",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750138000",
            "telephone_number": "214-509-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ THERAPY ZONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-924-9213",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "108019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.