Kinect Therapy Services

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

KINECT THERAPY SERVICES

Practice address

596 SE Nome Dr
Port Saint Lucie, FL 34984-8944

Phone

(772) 301-4458

NPI assigned

Jun 26, 2020

Last updated

Jun 26, 2020By 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

Llana Daley Bowen, OTR/L

Title

Omgr

Phone

(772) 772-7082

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

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.

• Hannah Tai Bowen

  • Occupational Therapy Assistant
  • Port Saint Lucie, FL
  • NPI 1699303131
  NPD
• Llana C Daley, OTR/L

  • Occupational Therapist
  • Port Saint Lucie, FL
  • NPI 1467661942
  NPD

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1144847054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 SE NOME DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349848944",
            "telephone_number": "772-301-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 SE NOME DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349848944",
            "telephone_number": "772-301-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINECT THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "DALEY BOWEN",
        "authorized_official_first_name": "LLANA",
        "authorized_official_title_or_position": "OMGR",
        "authorized_official_telephone_number": "772-772-7082",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "7723014458",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "596 SE Nome Dr",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349848944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shyamazan Khan
• Maged A Khodeir, RPH
• Deborah Ann Kicliter-Kelley, ARNP
• Kidpro Therapies, Inc
• Kind Hands Behavioral Services LLC
• Matthew Benjamin King, RN
• Matthew Kingrey, LCSW
• Jennifer Kinkade, OTRL
• Cassidy Nichole Kinney
• Kristen Kirk

• Occupational Therapist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.