Active NPI
Carolina Kids Therapy
- Early Intervention Provider Agency
- Raleigh, NC
National Provider Identifier
1649452079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- CAROLINA KIDS THERAPY
- Practice address
- 5411 Shaker Heights LN
Raleigh, NC 27613-1490 - Phone
- (919) 449-2542
- NPI assigned
- Nov 27, 2007
- Last updated
- Nov 28, 2007
- 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
- Mrs. Jennifer Renee Nitkin, OTR/L
- Title
- President
- Phone
- (919) 449-2542
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
5411 Shaker Heights LN
Raleigh, NC 27613-1490
Mailing address
5411 Shaker Heights LN
Raleigh, NC 27613-1490
Phone (919) 449-2542
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Occupational Therapist
- Raleigh, NC
- NPI 1457571481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1649452079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 SHAKER HEIGHTS LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131490",
"telephone_number": "919-449-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 SHAKER HEIGHTS LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131490",
"telephone_number": "919-449-2542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA KIDS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "NITKIN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-449-2542",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Carolina Hearing Group Inc
- Carolina Heart Center, PA
- Carolina Homecare Solution Inc
- Carolina Immediate Care , P.a.
- Carolina Kids Pediatric Associates
- Carolina Neighbors Home Care, LLC
- Carolina Neurology Consultants
- Carolina Neuropsychological Service, Inc
- Carolina Neuroscience Institute, PC
- Carolina North Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.