Organization Active NPI

Kid'S Therapy Land Bilingual Speech LLC

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1093590648
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KID'S THERAPY LAND BILINGUAL SPEECH LLC
Practice address
12900 Sawgrass Pine Cir
Orlando, FL 32824-4890
Phone
(407) 777-0682
Fax
(407) 777-0682
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Monica Bravo BuckinghamNPI 1417169053
Title
Manager
Phone
(321) 697-6609

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

12900 Sawgrass Pine Cir
Orlando, FL 32824-4890

Mailing address

12900 Sawgrass Pine Cir
Orlando, FL 32824-4890
Phone (407) 777-0682

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": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1093590648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 SAWGRASS PINE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244890",
            "telephone_number": "407-777-0682",
            "fax_number": "407-777-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 SAWGRASS PINE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244890",
            "telephone_number": "407-777-0682",
            "fax_number": "407-777-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID'S THERAPY LAND BILINGUAL SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "BRAVO BUCKINGHAM",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-697-6609"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.