NPIMap

Organization Active NPI

The Kid Spot for Speech, Physical, and Occupational Therapy, PLLC

  • Case Manager/Care Coordinator
  • Malverne, NY
National Provider Identifier
1487307906
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
THE KID SPOT FOR SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, PLLC
Practice address
77 Church St
Malverne, NY 11565-1726
Phone
(516) 495-4898
NPI assigned
Feb 3, 2022
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Stefanie KitsosNPI 1194175349
Title
Co-Owner
Phone
(516) 491-2655

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
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

77 Church St
Malverne, NY 11565-1726

Mailing address

77 Church St
Malverne, NY 11565-1726
Phone (516) 495-4898

National Provider Directory

National Provider Directory

Locations

77 Church St
Malverne, NY 11565
Phone (516) 495-4898

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1487307906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CHURCH ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651726",
            "telephone_number": "516-495-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CHURCH ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651726",
            "telephone_number": "516-495-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KID SPOT FOR SPEECH, PHYSICAL, AND OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "KITSOS",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "516-491-2655"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.