Pink Moon Lactation and OT, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PINK MOON LACTATION AND OT, LLC

Practice address

12401 Hartsook St
Valley Village, CA 91607-3051

Phone

(818) 319-2742

NPI assigned

Apr 1, 2025

Last updated

Apr 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Gilson, MS, OTR/L, IBCLCNPI 1457859258

Title

Owner,Occupational Therapist,Ibclc

Phone

(818) 237-3892

Specialties & licenses 2

Addresses

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.

• Kathryn Marie Gilson, OTR/L, IBCLC

  • Occupational Therapist
  • San Francisco, CA
  • NPI 1457859258

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1720881899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 GEARY ST.",
            "address_2": "STE 1500 #2152",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 HARTSOOK ST",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073051",
            "telephone_number": "818-319-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK MOON LACTATION AND OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "GILSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER,OCCUPATIONAL THERAPIST,IBCLC",
        "authorized_official_telephone_number": "818-237-3892",
        "authorized_official_credential": "MS, OTR/L, IBCLC"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalie Pham
• Sierra Marie Phillips
• Xylia Chilali-Cres'Stal Phillips
• Physical Therapy for Specialty Care
• Hagop Jack Pilafdzhyan
• Jonathan David Pivo, D.D.S.
• Natalia Plotkin
• Petros Pogosyan
• David Polushkin, DDS
• Michelle Colleen Pringle, MFTI

• Occupational Therapist in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.