Organization Active NPI

All About Kids Home Therapy Services, Inc

  • Pediatric Physical Therapist
  • Tampa, FL
National Provider Identifier
1245607035
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT20230 Issued in FL
Legal business name
ALL ABOUT KIDS HOME THERAPY SERVICES, INC
Practice address
3801 S Kenwood Ave
Tampa, FL 33611-1523
Phone
(813) 504-6699
Fax
(813) 253-3113
NPI assigned
Aug 27, 2015
Last updated
Aug 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Amy L Brun, MPTNPI 1083751994
Title
Owner
Phone
(813) 504-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT20230 FL Primary

Addresses

Primary practice location

3801 S Kenwood Ave
Tampa, FL 33611-1523

Mailing address

3801 S Kenwood Ave
Tampa, FL 33611-1523
Phone (813) 504-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170227000469 FL Part B Supplier - Clinic/Group Practice 1658655212 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1245607035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S KENWOOD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111523",
            "telephone_number": "813-504-6699",
            "fax_number": "813-253-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S KENWOOD AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111523",
            "telephone_number": "813-504-6699",
            "fax_number": "813-253-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT KIDS HOME THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "BRUN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-504-6699",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT20230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.