Kid Pro Therapy - Boas Center

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

SA7752 Issued in FL

Legal business name

KID PRO THERAPY - BOAS CENTER

Practice address

16546 N Dale Mabry Hwy
Tampa, FL 33618-1325

Phone

(813) 964-8481

Fax

(813) 964-8431

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Lorrainne Jones, M.A., CCC-SLP, PH.D.

Title

Director

Phone

(813) 964-8481

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1154450096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16546 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "813-964-8481",
            "fax_number": "813-964-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16546 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181325",
            "telephone_number": "813-964-8481",
            "fax_number": "813-964-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID PRO THERAPY - BOAS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LORRAINNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-964-8481",
        "authorized_official_credential": "M.A., CCC-SLP, PH.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "FL",
            "license": "SA7752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889948700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Kiang, DO
• Jocelyn Kibby
• Catherine Marie Kiburz, APRN
• Kickstart Physical Therapy
• Kid Play Behavior LLC
• Kid Pro Therapy Services Inc
• Amanda K Kidd, MS, CCC-SLP
• Morissa Kidd
• Kiddo-Land Therapy, Inc
• Kiddo-Land Therapy, Inc

• Local Education Agency (LEA) in Tampa, FL
• Providers in Tampa, FL by specialty
• Local Education Agency (LEA) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.