Kids Therapy Specialties, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KIDS THERAPY SPECIALTIES, LLC

Practice address

4900 Sanger Ave
Waco, TX 76710-5866

Phone

(254) 848-6284

Fax

(254) 848-4193

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Juliet Eileen Latino

Title

Owner

Phone

(254) 644-2423

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

Kids Therapy Specialities2 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.

• Kids Therapy Specialties LLC

  • Physical Therapist
  • Waco, TX
  • NPI 1407923808
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Anderson, PT

  • Physical Therapist
  • Belton, TX
  • NPI 1861962128
  NPD (past)
• Nicole Fliegelman, SLP

  • Speech-Language Pathologist
  • Belton, TX
  • NPI 1154944395
  NPD (past)
• Desarae Heli, OTR

  • Occupational Therapist
  • Belton, TX
  • NPI 1396402285
  NPD (past)
• Juliet Robinson Melton, P.T.

  • Physical Therapist
  • Crawford, TX
  • NPI 1255392551
  NPD (past)
• Amanda Vander Vorste, SLP

  • Speech-Language Pathologist
  • Belton, TX
  • NPI 1316555600
  NPD (past)

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1255606232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SANGER AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105866",
            "telephone_number": "254-848-6284",
            "fax_number": "254-848-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SANGER AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105866",
            "telephone_number": "254-848-6284",
            "fax_number": "254-848-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 Arbor Park Ste A",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "TX",
            "postal_code": "765138282",
            "country_code": "US",
            "telephone_number": "254-598-2620",
            "fax_number": "254-848-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS THERAPY SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "LATINO",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-644-2423",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333160501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamyal Khan, D.O.
• Lindsey Autumn Kidd, LPC
• Natalie Marie Kidd, MD
• Kids Therapy at Home LLC
• Kids Therapy Specialties LLC
• Adam Kiehl
• Kristina Michelle Kight, APRN
• Rebecca L. Kiker, PT
• Lakeya Nicole Kilgore
• Pamela Grisham Kilgore, RPH

• Physical Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.