NPIMap

Organization Active NPI

Ota Kids Pediatric Therapy

  • Occupational Therapist
  • Wakefield, MA
National Provider Identifier
1811031362
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
OTA KIDS PEDIATRIC THERAPY
Practice address
107 Audubon Rd Ste 110
Wakefield, MA 01880-1245
Phone
(617) 899-3159
Fax
(781) 245-5505
NPI assigned
Feb 17, 2007
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Holly Blokhin
Title
Executive Director
Phone
(617) 899-3159

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

107 Audubon Rd Ste 110
Wakefield, MA 01880-1245

Mailing address

107 Audubon Rd Ste 110
Wakefield, MA 01880-1245
Phone (781) 245-4446

Other practice location 1

19 Crosby Dr Ste 140
Bedford, MA 01730-1401
Phone (781) 245-4446 ext. 99

Other names 1

  • Occupational Therapy Associates Wakefield Former legal business name

National Provider Directory

National Provider Directory

Locations

107 Audubon Rd
Ste 110
Wakefield, MA 01880
Phone (617) 899-3159

607 North Ave
#14
Wakefield, MA 01880
Phone (781) 279-1260

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1811031362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 AUDUBON RD STE 110",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801245",
            "telephone_number": "781-245-4446",
            "fax_number": "781-245-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 AUDUBON RD STE 110",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801245",
            "telephone_number": "617-899-3159",
            "fax_number": "781-245-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Crosby Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "MA",
            "postal_code": "017301401",
            "country_code": "US",
            "telephone_number": "781-245-4446 x99",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OTA KIDS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "BLOKHIN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "617-899-3159"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Occupational Therapy Associates Wakefield",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.