Organization Active NPI

Emerging Kids Pediatric Occupational Therapy

  • Pediatric Occupational Therapist
  • Wayland, MA
National Provider Identifier
1972309227
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
EMERGING KIDS PEDIATRIC OCCUPATIONAL THERAPY
Practice address
494 Boston Post Rd Apt C122
Wayland, MA 01778-1877
Phone
(781) 514-5673
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Cody LukasikNPI 1760916001
Title
Occupational Therapist
Phone
(413) 923-4198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

494 Boston Post Rd Apt C122
Wayland, MA 01778-1877

Mailing address

396 Washington St Ste 227
Wellesley, MA 02481-6209
Phone (781) 514-5673

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1972309227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 WASHINGTON ST STE 227",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024816209",
            "telephone_number": "781-514-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 BOSTON POST RD APT C122",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781877",
            "telephone_number": "781-514-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGING KIDS PEDIATRIC OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "LUKASIK",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "413-923-4198"
    },
    "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 Wayland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.