Kids Connection Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

KIDS CONNECTION THERAPY LLC

Practice address

147 Parsons Rd
Longwood, FL 32779-2748

Phone

(407) 721-3486

Fax

(407) 641-8633

NPI assigned

Aug 4, 2021

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nika Catherine PalceskiNPI 1629119896

Title

Managing Member

Phone

(407) 252-4651

Specialties & licenses 5

Addresses

Other identifiers 1

Tax ID family

Kids Connection Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kids Connection Therapy LLC

  • Early Intervention Provider Agency
  • Longwood, FL
  • NPI 1720144371
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nika Catherine Palceski, MA,CCC-SLP

  • Speech-Language Pathologist
  • Longwood, FL
  • NPI 1629119896
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1114691904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PARSONS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792748",
            "telephone_number": "407-721-3486",
            "fax_number": "407-641-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PARSONS RD",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327792748",
            "telephone_number": "407-721-3486",
            "fax_number": "407-641-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CONNECTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-09-06",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "PALCESKI",
        "authorized_official_first_name": "NIKA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-252-4651"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003964300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Kelly
• Nicole Kemp
• Jeremiah Kenney- Wright, D.C.
• Taylor Shea Keyser, LMT
• Hyndi E Khomutetsky, BCBA
• Kids Connection Therapy LLC
• Kids Plus Services Inc
• Bumsoo Kim, PTA
• Kimberly Watson, D.C., P.a.
• Amy Rachel Kimble

• Speech-Language Pathologist in Longwood, FL
• Providers in Longwood, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.