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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleidoscope Learning & Therapy Inc Past
since Jan 1, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 3, 2025.

{
    "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

All providers in Spring Hill, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.