Kool Kids Club Rehabilitation Center

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT12161 Issued in FL

Legal business name

KOOL KIDS CLUB REHABILITATION CENTER

Practice address

6934 SW 114TH PL Apt H
Miami, FL 33173-1876

Phone

(786) 412-2538

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Derek CollNPI 1871800599

Title

President/Occupational Therapist

Phone

(786) 412-2538

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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

• Derek Coll, OTR/L

  • Occupational Therapist
  • Pembroke Pines, FL
  • NPI 1871800599
  NPD (past) Authorized official

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1487930137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6934 SW 114TH PL APT H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731876",
            "telephone_number": "786-412-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 SW 114TH PL APT H",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731876",
            "telephone_number": "786-412-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL KIDS CLUB REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "COLL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "786-412-2538",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23932",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1871800599",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1609048230",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Kymberli Kong
• Kristy Kong, LCSW
• Cristina Lynn Koniver, MSN, APRN, AGACNP-BC
• Eftichia V Kontopoulos, MD
• Darush Michael Koohestani
• Kool Kidz Success Center, Inc
• Megan Koolmeyer, NP
• Brenda Lee Koonce, PTA
• Beeba K Kooner, CRNA
• Michael Maurice Koonin, M.D.

• Occupational Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.