NPIMap

Organization Active NPI

Craddles LLC

  • Occupational Therapist
  • Edgewood, MD
National Provider Identifier
1821620758
Registry record updated Feb 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CRADDLES LLC
Practice address
1319 Woodbridge Station Way Ste 102
Edgewood, MD 21040-3852
Phone
(443) 857-7475
NPI assigned
Feb 9, 2020
Last updated
Feb 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2020

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

Authorized official

Name
Mrs. Shakirat Olabisi Aroworowon, COTA/LNPI 1205467768
Title
Ceo
Phone
(443) 857-7475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU
Physical Therapy Assistant 225200000X NU
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1319 Woodbridge Station Way Ste 102
Edgewood, MD 21040-3852

Mailing address

5310 Old Court Rd Ste 303
Randallstown, MD 21133-6202
Phone (443) 857-7985

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL casamba Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1319 Woodbridge Station Way
Ste 102
Edgewood, MD 21040
Phone (301) 744-9673

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": "1581206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581206400000",
    "number": "1821620758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT RD STE 303",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211336202",
            "telephone_number": "443-857-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 WOODBRIDGE STATION WAY STE 102",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403852",
            "telephone_number": "443-857-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRADDLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A",
        "authorized_official_last_name": "AROWOROWON",
        "authorized_official_first_name": "SHAKIRAT",
        "authorized_official_middle_name": "OLABISI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-857-7475",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "casamba",
            "affiliation": "N",
            "endpointDescription": "For clients evalutaions and documentation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1319 Woodbridge Station Way Ste 102",
            "city": "Edgewood",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210403852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; 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.