NPIMap

Organization Active NPI

Kidability, Inc.

  • Occupational Therapist
  • Salem, OR
National Provider Identifier
1699896803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1003215 Issued in OR
Legal business name
KIDABILITY, INC.
Practice address
2262 Banyonwood Ave NW
Salem, OR 97304-1341
Phone
(503) 580-5475
Fax
(503) 362-6071
NPI assigned
Apr 3, 2007
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
Mrs. Tana AtkinsonNPI 1245366913
Title
Secretary
Phone
(503) 580-5475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1003215 OR Primary

Addresses

Primary practice location

2262 Banyonwood Ave NW
Salem, OR 97304-1341

Mailing address

PO Box 5763
Salem, OR 97304-0763
Phone (503) 580-5475

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699896803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5763",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973040763",
            "telephone_number": "503-580-5475",
            "fax_number": "503-362-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 BANYONWOOD AVE NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973041341",
            "telephone_number": "503-580-5475",
            "fax_number": "503-362-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDABILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "TANA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "503-580-5475",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1003215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

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.