Jordan Burke
Individual provider Active NPI Developmental Therapist · Spring Hill, FL
NPI 1144030867 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1144030867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 1099 Newhope Rd
Spring Hill, FL 34606-4919 - Phone
- (352) 263-8470
- NPI assigned
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleidoscope Learning & Therapy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | FL | Yes |
Addresses
Primary practice location
1099 Newhope Rd
Spring Hill, FL 34606-4919
Mailing address
1099 Newhope Rd
Spring Hill, FL 34606-4919
Phone (352) 263-8470
NPI Registry JSON
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1144030867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 NEWHOPE RD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064919",
"telephone_number": "352-263-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 NEWHOPE RD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346064919",
"telephone_number": "352-263-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
- Richard Bryant
- Loida V Buaquina
- Sydney Collette Burcl
- Simone D Burgess
- Jose A Burgos
- Jordan Burnam
- Michael E Burr
- Sheva Teresa Burton
- Synette Ann Busch
- Leslie D Bush
All providers in Spring Hill, FL · Developmental Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.