NPIMap

Organization Active NPI

Wonderkids Occupational Therapy, LLC

  • Pediatric Occupational Therapist
  • Spring Hill, FL
National Provider Identifier
1710561667
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
WONDERKIDS OCCUPATIONAL THERAPY, LLC
Practice address
12601 Spring Hill Dr
Spring Hill, FL 34609-5009
Phone
(352) 559-9500
Fax
(352) 559-0585
NPI assigned
May 7, 2021
Last updated
May 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Mrs. Desiree Carolina Hardwick, OTR/L; NTMTCNPI 1013195676
Title
Owner/Occupational Therapist
Phone
(915) 253-1691

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

12601 Spring Hill Dr
Spring Hill, FL 34609-5009

Mailing address

12601 Spring Hill Dr
Spring Hill, FL 34609-5009
Phone (352) 559-9500

Other names 1

  • Wonderkids Therapy Other name

National Provider Directory

National Provider Directory

Locations

12601 Spring Hill Dr
Spring Hill, FL 34609
Phone (352) 559-9500

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": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1710561667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095009",
            "telephone_number": "352-559-9500",
            "fax_number": "352-559-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SPRING HILL DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095009",
            "telephone_number": "352-559-9500",
            "fax_number": "352-559-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERKIDS OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "CAROLINA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "915-253-1691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L; NTMTC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderkids Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Wonderkids Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.