NPIMap

Organization Active NPI

Kidtherapy - Chester, LLC

  • Occupational Therapist
  • Chester, NJ
National Provider Identifier
1659749349
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00016300 Issued in NJ
Legal business name
KIDTHERAPY - CHESTER, LLC
Practice address
95 W Main St Ste 18
Chester, NJ 07930-2487
Phone
(908) 879-7067
Fax
(908) 879-4117
NPI assigned
Sep 11, 2015
Last updated
Sep 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Kelly Berman
Title
Co-Owner
Phone
(908) 879-7067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00016300 NJ Primary

Addresses

Primary practice location

95 W Main St Ste 18
Chester, NJ 07930-2487

Mailing address

95 W Main St Ste 18
Chester, NJ 07930-2487
Phone (908) 879-7067

National Provider Directory

National Provider Directory
Tax ID family
Kidtherapy - Chester LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

95 W Main St
Ste 18
Chester, NJ 07930
Phone (908) 879-7067

Practitioners & affiliated clinicians

Practitioners 2

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": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1659749349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W MAIN ST STE 18",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302487",
            "telephone_number": "908-879-7067",
            "fax_number": "908-879-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W MAIN ST STE 18",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302487",
            "telephone_number": "908-879-7067",
            "fax_number": "908-879-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDTHERAPY - CHESTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "908-879-7067"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00016300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.