Kidspace Therapy Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

KIDSPACE THERAPY CENTER

Practice address

15291 NW 60TH Ave Ste 101
Miami Lakes, FL 33014-2459

Phone

(305) 705-7702

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By 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

Mr. Raul Soto III

Title

Director of Operations

Phone

(305) 705-7702

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Kidspace Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kidspace Therapy Center, LLC.

  • Multi-Specialty Clinic/Center
  • Miami Lakes, FL
  • NPI 1912546433
  NPD tax ID

Locations

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1154992501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE STE 101",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142459",
            "telephone_number": "305-705-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPACE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "305-705-7702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@kstherapy.net",
            "affiliation": "N",
            "address_1": "15291 NW 60th Ave Ste 101",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330142459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin K. Reiseck D.C. P.a. (Advanced Health and Wellness Services)
• Shimul Khan, RPH
• Zanifa Khan, SLPA
• Kidney Doctors Dialysis Center Inc
• Kids Behavior Center LLC
• Kidspace Therapy Center, LLC.
• Tosca Kinchelow Kulendran, M.D.
• Francis J Kleeman, M.D.
• Knowledgeable Counselor PA
• Kreative Minds Corner Inc.

• Early Intervention Provider Agency in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.