Active NPI
Kids in Balance, Inc.
- Voluntary or Charitable Agency
- Riverview, FL
National Provider Identifier
1003007659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- CH21861
- Legal business name
- KIDS IN BALANCE, INC.
- Practice address
- 10022 Water Works LN
Riverview, FL 33578-5301 - Phone
- (813) 677-8450
- Fax
- (813) 677-5029
- NPI assigned
- Aug 8, 2007
- 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
- Ms. Jennifer A Leigh, M.S. CCC-SLP
- Title
- Dir./Speech Language Pathologist
- Phone
- (813) 677-8450
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 |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | CH21861 | FL | Primary |
Addresses
Primary practice location
10022 Water Works LN
Riverview, FL 33578-5301
Mailing address
4507 Compass Oaks Dr
Valrico, FL 33596-7390
Phone (813) 677-8450
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA 5793 | Other | FL | SPEECH-LANGUAGE PATHOLOGI |
| PT 23360 | Other | FL | PHYSICAL THERAPY |
| OT 3546 | Other | FL | OCCUPATIONAL THERAPIST |
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.
-
- Speech-Language Pathologist
- Riverview, FL
- NPI 1902963515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186531200000",
"number": "1003007659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4507 COMPASS OAKS DR",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967390",
"telephone_number": "813-677-8450",
"fax_number": "813-677-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10022 WATER WORKS LN",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335785301",
"telephone_number": "813-677-8450",
"fax_number": "813-677-5029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS IN BALANCE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A",
"authorized_official_last_name": "LEIGH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIR./SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "813-677-8450",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "FL",
"license": "CH21861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGI",
"identifier": "SA 5793",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "PT 23360",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "OT 3546",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.