Active NPI
Emerging Kids Pediatric Occupational Therapy
- Pediatric Occupational Therapist
- Wayland, MA
National Provider Identifier
1972309227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cody Lukasik
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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 DirectoryPractitioners & 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.