NPIMap

Organization Active NPI

Head to Toe Kids Therapy, LLC

  • Speech-Language Pathologist
  • Orlando, FL
National Provider Identifier
1366855579
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HEAD TO TOE KIDS THERAPY, LLC
Practice address
7200 Lake Ellenor Dr
Suite 146
Orlando, FL 32809-5700
Phone
(321) 236-1381
Fax
(407) 730-6087
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Mrs. Srujani Gaddam
Title
Presindet
Phone
(321) 236-1381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

7200 Lake Ellenor Dr
Suite 146
Orlando, FL 32809-5700

Mailing address

7200 Lake Ellenor Dr
Suite 146
Orlando, FL 32809-5700
Phone (321) 236-1381

Other identifiers 1

IdentifierTypeStateIssuer
1295986537MedicaidFL

National Provider Directory

National Provider Directory

Locations

7200 Lk Ellenor Dr
Ste 146
Orlando, FL 32809
Phone (321) 236-1381

Practitioners & affiliated clinicians

Practitioners 8

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1366855579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 LAKE ELLENOR DR",
            "address_2": "SUITE 146",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095700",
            "telephone_number": "321-236-1381",
            "fax_number": "407-730-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 LAKE ELLENOR DR",
            "address_2": "SUITE 146",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095700",
            "telephone_number": "321-236-1381",
            "fax_number": "407-730-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD TO TOE KIDS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "GADDAM",
        "authorized_official_first_name": "SRUJANI",
        "authorized_official_title_or_position": "PRESINDET",
        "authorized_official_telephone_number": "321-236-1381",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295986537",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.