NPIMap

Organization Active NPI

Little Star Therapy Services, Inc

  • Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1356659536
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LITTLE STAR THERAPY SERVICES, INC
Practice address
15485 Eagle Nest LN Ste 220
Miami Lakes, FL 33014-2222
Phone
(786) 477-5783
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Natalie Katrina Martinez
Title
Owner
Phone
(305) 458-8688

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Early Intervention Provider Agency 252Y00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

15485 Eagle Nest LN Ste 220
Miami Lakes, FL 33014-2222

Mailing address

6840 SW 14TH St
Miami, FL 33144-5531
Phone (305) 458-8688

Other practice location 1

1125 NE 125th St Ste 100
North Miami, FL 33161-5014
Phone (786) 297-1880

Other identifiers 2

IdentifierTypeStateIssuer
021572800MedicaidFL
021982000OtherFLEARLY STEPS

National Provider Directory

National Provider Directory
Tax ID family
Little Star Therapy Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8181 NW 154th St
Ste 115
Miami Lakes, FL 33016
Phone (305) 458-8688

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1356659536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 SW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331445531",
            "telephone_number": "305-458-8688",
            "fax_number": "305-458-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 220",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142222",
            "telephone_number": "786-477-5783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 NE 125th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331615014",
            "country_code": "US",
            "telephone_number": "786-297-1880",
            "fax_number": "786-558-7996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE STAR THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "KATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-458-8688"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021572800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY STEPS",
            "identifier": "021982000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.