Organization Active NPI

Thrive for Success LLC

  • Pediatric Occupational Therapist
  • Lakewood, NJ
National Provider Identifier
1932875754
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
THRIVE FOR SUCCESS LLC
Practice address
62 Kingsfield Dr
Lakewood, NJ 08701-3098
Phone
(732) 267-7173
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Mrs. Yelena Yavorskyi, COTA
Title
Owner
Phone
(732) 267-7173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

62 Kingsfield Dr
Lakewood, NJ 08701-3098

Mailing address

62 Kingsfield Dr
Lakewood, NJ 08701-3098
Phone (732) 267-7173

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1932875754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 KINGSFIELD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013098",
            "telephone_number": "732-267-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 KINGSFIELD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013098",
            "telephone_number": "732-267-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FOR SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "YAVORSKYI",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-267-7173",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.