Pediatric OT Services, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

904 Issued in AK

Legal business name

PEDIATRIC OT SERVICES, LLC

Practice address

1301 E Dowling Rd Ste 106
Anchorage, AK 99518-1428

Phone

(907) 240-9544

Fax

(907) 346-5437

NPI assigned

Feb 24, 2011

Organization subpart

No

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

Authorized official

Name

Julie Kelly, OTR/LNPI 1376605469

Title

Owner/Occupational Therapist

Phone

(907) 240-9544

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Helping Hands-Pediatric OT Services Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie A Kelly, OT

  • Pediatric Occupational Therapist
  • Anchorage, AK
  • NPI 1376605469

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1942507017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112095",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995112095",
            "telephone_number": "907-240-9544",
            "fax_number": "907-346-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E DOWLING RD STE 106",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181428",
            "telephone_number": "907-240-9544",
            "fax_number": "907-346-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "907-240-9544",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT4736",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helping Hands-Pediatric OT Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Veronica Rae Peddada, FNP-BC
• Pediatric Gastroenterology Inc
• Pediatric Gastroenterology of Alaska, LLC
• Pediatric Neurology Clinic of Alaska, P.C.
• Pediatric Neuropsychological Services of Alaska, PC
• Pediatric Specialists of Alaska LLC
• David J Pedigo, OD
• Pedro J. Valdes, M.D.
• Kayla-Eroni Pedro
• Wanda F Peel

• Pediatric Occupational Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Pediatric Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.