Individual provider Active NPI

Kyla Isabella Vacchio, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Chatham, NJ
National Provider Identifier
1700537867
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
46TR01025200 Issued in NJ
Practice address
5 Roosevelt Ave Ste a
Chatham, NJ 07928-2572
Phone
(973) 507-9730
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 46TR01025200 NJ Primary

Addresses

Primary practice location

5 Roosevelt Ave Ste a
Chatham, NJ 07928-2572

Mailing address

90 Eastern Ave
Somerville, NJ 08876-2535
Phone (908) 812-2033

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kyla.vacchio@harmonypediatrictherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46TR01025200NJMDPediatric Occupational Therapist

Interoperability endpoints

  • Direct secure messaging: kyla.vacchio@harmonypediatrictherapy.com

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1700537867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 EASTERN AVE",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762535",
            "telephone_number": "908-812-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROOSEVELT AVE STE A",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282572",
            "telephone_number": "973-507-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCHIO",
        "first_name": "KYLA",
        "middle_name": "ISABELLA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR01025200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kyla.vacchio@harmonypediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 Roosevelt Ave Ste A",
            "city": "Chatham",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079282572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.