Active NPI
Kids Place Ppec LLC
- Medically Fragile Infants and Children Day Care
- Lakeland, FL
National Provider Identifier
1174307151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- KIDS PLACE PPEC LLC
- Practice address
- 7910 US Highway 98 N
Lakeland, FL 33809-4819 - Phone
- (407) 455-1739
- NPI assigned
- Aug 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin Lugo
- Title
- Administrator
- Phone
- (407) 848-7785
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Clinic/Center | 261Q00000X | |||
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
7910 US Highway 98 N
Lakeland, FL 33809-4819
Mailing address
7910 US Highway 98 N
Lakeland, FL 33809-4819
Phone (407) 455-1739
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2288031 | Kids Place Ppec LLC | Certificate of waiver | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
7910 US Highway 98 N
Lakeland, FL 33809
Phone (407) 455-1739
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Lakeland, FL
- NPI 1972363422
-
- Physical Therapist
- Lakeland, FL
- NPI 1134953540
-
- Occupational Therapist
- Lakeland, FL
- NPI 1619862810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1174307151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7910 US HIGHWAY 98 N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094819",
"telephone_number": "407-455-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 US HIGHWAY 98 N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338094819",
"telephone_number": "407-455-1739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS PLACE PPEC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-22",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "LUGO",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "407-848-7785",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.