Organization Active NPI

Kids in Balance, Inc.

  • Voluntary or Charitable Agency
  • Riverview, FL
National Provider Identifier
1003007659
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
CH21861 Issued in FL
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

Updated by the provider on Aug 8, 2007

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-SLPNPI 1902963515
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SA 5793OtherFLSPEECH-LANGUAGE PATHOLOGI
PT 23360OtherFLPHYSICAL THERAPY
OT 3546OtherFLOCCUPATIONAL THERAPIST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.