Sunshine Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT 9943 Issued in FL

Legal business name

SUNSHINE PEDIATRIC THERAPY, LLC

Practice address

601 S Tree Garden Dr
St Augustine, FL 32086-5234

Phone

(904) 669-4285

Fax

(904) 797-6064

NPI assigned

Nov 24, 2013

Last updated

Nov 24, 2013By 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

Kimberly McKinney, OT PT

Title

Owner

Phone

(904) 669-4285

Specialties & licenses 2

Addresses

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.

• Kim McKinney, OT/PT

  • Pediatric Occupational Therapist
  • St Augustine, FL
  • NPI 1851732218

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1385251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385251200000",
    "number": "1265862411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S TREE GARDEN DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865234",
            "telephone_number": "904-669-4285",
            "fax_number": "904-797-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S TREE GARDEN DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865234",
            "telephone_number": "904-669-4285",
            "fax_number": "904-797-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-24",
        "last_updated": "2013-11-24",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-669-4285",
        "authorized_official_credential": "OT PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT 20437",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 9943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Rose Summerford
• Kevin Marte Summerize
• Summerville at St. Augustine, LLC (Brookdale St. Augustine)
• Kathryn Sumner, MS
• Sunshine Family Practice LLC
• Superior Podiatry, LLC
• Surgical Associates of North Florida LLC
• Susan Cardiff-Reed, LCSW
• Kristi Lynn Swanson, APRN
• Amanda Woodman Swartzlender

• Pediatric Occupational Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2013; 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.