Organization Active NPI

The Kioko Center LLC

  • Speech-Language Pathologist
  • North Andover, MA
National Provider Identifier
1982909560
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
727452 Issued in MA
Legal business name
THE KIOKO CENTER LLC
Practice address
820 Turnpike St
Suite 104
North Andover, MA 01845-6125
Phone
(978) 681-6605
Fax
(978) 681-6601
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Tara McCormick, OTD OTR/L
Title
Business Owner/Leading OT
Phone
(978) 681-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 727452 MA Primary

Addresses

Primary practice location

820 Turnpike St
Suite 104
North Andover, MA 01845-6125

Mailing address

820 Turnpike St
Suite 104
North Andover, MA 01845-6125

Other identifiers 1

IdentifierTypeStateIssuer
1790089399OtherBLUE CROSS BLUE SHIELD & HARVARD PILGRIM

National Provider Directory

National Provider Directory
Tax ID family
Kioko Center South2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

820 Turnpike St
Ste 104
North Andover, MA 01845
Phone (978) 681-6605

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1982909560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 TURNPIKE ST",
            "address_2": "SUITE 104",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 TURNPIKE ST",
            "address_2": "SUITE 104",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456125",
            "telephone_number": "978-681-6605",
            "fax_number": "978-681-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIOKO CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "BUSINESS OWNER/LEADING OT",
        "authorized_official_telephone_number": "978-681-6605",
        "authorized_official_credential": "OTD OTR/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "727452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD & HARVARD PILGRIM",
            "identifier": "1790089399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.