Active NPI
OT Kidz Style, Inc.
- Pediatric Occupational Therapist
- Augusta, GA
National Provider Identifier
1649378951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT001615
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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 DirectoryNPI 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.