Organization Active NPI

OT Kidz Style, Inc.

  • Pediatric Occupational Therapist
  • Augusta, GA
National Provider Identifier
1649378951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT001615 Issued in GA
Legal business name
OT KIDZ STYLE, INC.
Practice address
2131 McDowell St
Augusta, GA 30904-4490
Phone
(706) 339-4026
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Regina Ray
Title
Occupational Therapist
Phone
(706) 339-4026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X OT001615 GA Primary

Addresses

Primary practice location

2131 McDowell St
Augusta, GA 30904-4490

Mailing address

2131 McDowell St
Augusta, GA 30904-4490
Phone (706) 339-4026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649378951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 MCDOWELL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044490",
            "telephone_number": "706-339-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 MCDOWELL ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044490",
            "telephone_number": "706-339-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT KIDZ STYLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "706-339-4026"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT001615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.