Daniela Kletkin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ10566 Issued in FL

Practice address

14201 W Sunrise Blvd Ste 107
Sunrise, FL 33323-3207

Phone

(954) 756-2818

Fax

(954) 514-1126

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Adults to Pediatrics Therapy LLC

  • Clinic/Center
  • Sunrise, FL
  • NPI 1114151362

  Single Specialty

  NPD
• Always Keep Progressing, LLC

  • Clinic/Center
  • Miami, FL
  • NPI 1366090904

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1174126643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 107",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-756-2818",
            "fax_number": "954-514-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETKIN",
        "first_name": "DANIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4062",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atpoffice@adultstopediatrics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14201 W Sunrise Blvd Ste 107",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333233207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenna Kirby
• Kenneth Kirzner, MD
• Radhabai Kitchappa, M.D.
• Laura Kathleen Klein, M.ED.
• Harvey Steven Kleiner, D.O.
• Nicole Kline
• Kna Medical Supplies
• Esther Knafo
• James Martin Knecht III, PHARM D
• Brianna Kneebone, COTA/L

• Speech-Language Pathologist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.