National Provider Identifier
Hawthorne Pediatric Therapy, LLC
Hawthorne Pediatric Therapy, LLC is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Hawthorne, NJ and a listed phone number of (201) 500-8014.
Source: public NPPES record, last updated January 30, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1598418675
- Provider Type
- Organization
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- January 30, 2022
- Last Updated
- January 30, 2022
Practice Location
- 173 Pasadena Pl
- Hawthorne, NJ 07506-2838
Phone: (201) 500-8014
Authorized Official
- Name
- Mr. Stanton William Sheridan II
- Title
- Owner
- Credentials
- MS, OTR
- Phone
- (201) 500-8014
Specialties
- Pediatric Occupational Therapist (225XP0200X)
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Full Record
- NPI
- 1598418675
- Entity Type
- Organization
- Organization Name
- Hawthorne Pediatric Therapy, LLC
- Mailing Street Address
- 173 Pasadena Pl
- Mailing City
- Hawthorne
- Mailing State
- NJ
- Mailing ZIP Code
- 07506-2838
- Mailing Country
- US
- Mailing Phone
- (201) 500-8014
- Practice Street Address
- 173 Pasadena Pl
- Practice City
- Hawthorne
- Practice State
- NJ
- Practice ZIP Code
- 07506-2838
- Practice Country
- US
- Practice Phone
- (201) 500-8014
- Enumeration Date
- January 30, 2022
- Last Updated
- January 30, 2022
- Authorized Official Last Name
- Sheridan
- Authorized Official First Name
- Stanton
- Authorized Official Middle Name
- William
- Authorized Official Title
- Owner
- Authorized Official Phone
- (201) 500-8014
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Name Suffix Text
- II
- Authorized Official Credential Text
- MS, OTR
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- January 30, 2022
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)