Active NPI
Kanga Dyslexia and Therapy Services
- Speech-Language Pathologist
- Haines City, FL
National Provider Identifier
1003447152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KANGA DYSLEXIA AND THERAPY SERVICES
- Practice address
- 125 Bream St
Haines City, FL 33844-9621 - Phone
- (863) 409-2994
- Fax
- (863) 438-7064
- NPI assigned
- Jan 28, 2020
- 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
- Debra Copple
- Title
- President
- Phone
- (863) 409-2994
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
125 Bream St
Haines City, FL 33844-9621
Mailing address
PO Box 3983
Lake Wales, FL 33859-3983
Phone (863) 409-2994
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002119000 | Medicaid | FL | |
| 9000176345 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Kanga Dyslexia and Therapy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Haines City, FL
- NPI 1902123672
Practitioners & 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
- Haines City, FL
- NPI 1366682783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580169600000",
"number": "1003447152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3983",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338593983",
"telephone_number": "863-409-2994",
"fax_number": "863-438-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BREAM ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338449621",
"telephone_number": "863-409-2994",
"fax_number": "863-438-7064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANGA DYSLEXIA AND THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A",
"authorized_official_last_name": "COPPLE",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-409-2994"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002119000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000176345",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.