Active NPI
KJ Therapeutic Learning Center, LLC
- Clinic/Center
- North Miami, FL
National Provider Identifier
1437762945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KJ THERAPEUTIC LEARNING CENTER, LLC
- Practice address
- 75 NE 132ND St
North Miami, FL 33161-4531 - Phone
- (941) 623-2677
- NPI assigned
- Aug 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gabrielle Saint Charles
- Title
- Administrator
- Phone
- (941) 623-2677
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
75 NE 132ND St
North Miami, FL 33161-4531
Mailing address
75 NE 132ND St
North Miami, FL 33161-4531
Phone (941) 623-2677
Other practice location 1
2227 22nd St S
St Petersburg, FL 33712-3501
Phone (941) 623-2677
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598313600000",
"number": "1437762945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 NE 132ND ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614531",
"telephone_number": "941-623-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 NE 132ND ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331614531",
"telephone_number": "941-623-2677"
}
],
"practiceLocations": [
{
"address_1": "2227 22nd St S",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337123501",
"country_code": "US",
"telephone_number": "941-623-2677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KJ THERAPEUTIC LEARNING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A",
"authorized_official_last_name": "SAINT CHARLES",
"authorized_official_first_name": "GABRIELLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "941-623-2677"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.