OrganizationActive
Canyon Kids LLC
NPI 1205101938 · Pediatric Occupational Therapist · Bethesda, MD
Provider details
- NPI number
- 1205101938
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michael Hiscock, Business Manager(301) 257-7387
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4833 Rugby Ave Ste 500
Bethesda, MD 20814-3910
Phone: (301) 523-0902
Fax: (240) 244-0079
Street-level locationGet directions
Mailing address
4833 Rugby Ave Ste 500
Bethesda, MD 20814-3910
Registry dates
- Enumerated
- 2012-03-13
- Last updated
- 2024-08-26
- Certified
- 2024-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.