Organization Active NPI

Kickstart Kids Therapy, PLLC

Doing business as Kickstart Kids

  • Speech-Language Pathologist
  • Burnet, TX
National Provider Identifier
1386359560
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KICKSTART KIDS THERAPY, PLLC
Doing business as
Kickstart Kids
Practice address
109 Billy Joe Fox Dr
Burnet, TX 78611-3579
Phone
(830) 201-0594
NPI assigned
Jan 23, 2023
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Mrs. Aimee Louise Barnard, MS, CCC-SLPNPI 1750094710
Title
Speech Language Pathologist
Phone
(830) 201-0594

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
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

109 Billy Joe Fox Dr
Burnet, TX 78611-3579

Mailing address

117 Rylee Rd
Burnet, TX 78611-4203
Phone (830) 201-0594

Other names 1

  • Kickstart Kids Doing business as

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1386359560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 RYLEE RD",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786114203",
            "telephone_number": "830-201-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BILLY JOE FOX DR",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786113579",
            "telephone_number": "830-201-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KICKSTART KIDS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "830-201-0594",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kickstart Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.