Dynamic Kids, Inc

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

DYNAMIC KIDS, INC

Practice address

297 Knollwood Rd
White Plains, NY 10607-1833

Phone

(914) 428-5151

Fax

(914) 428-7660

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Roberta Levy, OTR

Title

Owner/Director

Phone

(914) 428-5151

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1821228636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 KNOLLWOOD RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071833",
            "telephone_number": "914-428-5151",
            "fax_number": "914-428-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 KNOLLWOOD RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071833",
            "telephone_number": "914-428-5151",
            "fax_number": "914-428-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC KIDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "914-428-5151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.