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KIDSHINE LLC NPI 1831562891


NPI Information

NPI: 1831562891
Provider Name: KIDSHINE LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
75 TURNPIKE RD # 3C
IPSWICH, MA
ZIP 01938
Phone: (978) 356-0315
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KIDSHINE LLC is a developmental disabilities clinic center in Ipswich, MA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). KIDSHINE LLC NPI is 1831562891. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 TURNPIKE RD # 3C
IPSWICH, MA
ZIP 01938-046
Phone: (978) 356-0315
Fax: (978) 356-0316

The provider's authorized official is Amy C Wheadon .
The authorized official title is Owner and has the following contact phone number (781) 367-9729.

The enumeration date for this NPI number is 11/12/2015 and was last updated on 5/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational TherapistNo
2261QD1600XClinic/CenterDevelopmental Disabilities7585MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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