Organization Active NPI

Carolina Kids Therapy

  • Early Intervention Provider Agency
  • Raleigh, NC
National Provider Identifier
1649452079
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mrs. Jennifer Renee Nitkin, OTR/LNPI 1457571481
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)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.