NPIMap

Organization Active NPI

Kreative Kids Therapy Center Co

Doing business as Kreative Therapy Services

  • Multi-Specialty Clinic/Center
  • Doral, FL
National Provider Identifier
1134563075
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KREATIVE KIDS THERAPY CENTER CO
Doing business as
Kreative Therapy Services
Practice address
8491 NW 17TH St Ste 110
Doral, FL 33126-1025
Phone
(305) 456-5542
Fax
(786) 364-0119
NPI assigned
Apr 22, 2013
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mrs. Katy Echevarria, SLPNPI 1861748519
Title
President
Phone
(305) 305-9665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8491 NW 17TH St Ste 110
Doral, FL 33126-1025

Mailing address

8491 NW 17TH St Ste 110
Doral, FL 33126-1025
Phone (305) 456-5542

Other practice location 1

8257 SW 124th St
Pinecrest, FL 33156-5900
Phone (305) 456-5542

Other names 1

  • Kreative Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

8257 SW 124th St
Pinecrest, FL 33156
Phone (305) 456-5542

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1134563075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 NW 17TH ST STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261025",
            "telephone_number": "305-456-5542",
            "fax_number": "305-442-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 NW 17TH ST STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261025",
            "telephone_number": "305-456-5542",
            "fax_number": "786-364-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8257 SW 124th St",
            "address_purpose": "LOCATION",
            "city": "Pinecrest",
            "state": "FL",
            "postal_code": "331565900",
            "country_code": "US",
            "telephone_number": "305-456-5542",
            "fax_number": "786-364-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KREATIVE KIDS THERAPY CENTER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-305-9665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kreative Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.