Spark Kids Collective

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

SPARK KIDS COLLECTIVE

Practice address

7653 Clinton St
Los Angeles, CA 90036-1822

Phone

(631) 678-8475

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Nicole WeinsteinNPI 1851691588

Title

Ceo

Phone

(631) 678-8475

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.

• Nicole Weinstein, OTR/L

  • Occupational Therapist
  • New York, NY
  • NPI 1851691588
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1760246011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7653 CLINTON ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900361822",
            "telephone_number": "631-678-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7653 CLINTON ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900361822",
            "telephone_number": "631-678-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK KIDS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-678-8475"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol J Spar, M.D.
• James Edward Spar, MD
• Merrill Tremayne Sparago, M.D.
• James Byford Sparing, M.D.
• Spark Family Operations, LLC
• Shane William Sparkes, MSW, PHD
• Bernice A Sparks, RN
• Daniel Sparks
• Hiro Dakota Sparks, MD
• Kaci Sparks, RN

• Pediatric Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.