Active NPI
K & K Therapeutic Enterprises LLC
Doing business as Kaleidoscope Kids Pediatric Therapy
- Pediatric Occupational Therapist
- San Antonio, TX
National Provider Identifier
1497486575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- K & K THERAPEUTIC ENTERPRISES LLC
- Doing business as
- Kaleidoscope Kids Pediatric Therapy
- Practice address
- 5460 Babcock Rd Ste 120
San Antonio, TX 78240-3400 - Phone
- (210) 526-2782
- Fax
- (210) 819-5243
- NPI assigned
- Jun 21, 2022
- Organization subpart
- Yes
- Parent organization
- K & K THERAPEUTIC ENTERPRISES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen L Barnes, OTR, MOT
- Title
- Co-Owner
- Phone
- (210) 526-5243
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Pediatric Physical Therapist | 2251P0200X | |||
| Physical Therapy Assistant | 225200000X | |||
| Pediatric Occupational Therapist | 225XP0200X | Primary | ||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
5460 Babcock Rd Ste 120
San Antonio, TX 78240-3400
Mailing address
5460 Babcock Rd Ste 120
San Antonio, TX 78240-3400
Phone (210) 526-2782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497486575 | Medicaid | TX |
Other names 1
- Kaleidoscope Kids Pediatric Therapy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@kkidstherapy.com |
National Provider Directory
National Provider Directory- Part of
- K K Therapeutic Enterprises LLC
Practitioners & affiliated clinicians
Practitioners 1
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": "1655769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1497486575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5460 BABCOCK RD STE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403400",
"telephone_number": "210-526-2782",
"fax_number": "210-819-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 BABCOCK RD STE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403400",
"telephone_number": "210-526-2782",
"fax_number": "210-819-5243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K & K THERAPEUTIC ENTERPRISES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "K & K THERAPEUTIC ENTERPRISES LLC",
"enumeration_date": "2022-06-21",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "KRISTEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "210-526-5243",
"authorized_official_credential": "OTR, MOT"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497486575",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@kkidstherapy.com",
"affiliation": "N",
"address_1": "5460 Babcock Rd Ste 120",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782403400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Kaleidoscope Kids Pediatric Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kaleidoscope Kids Pediatric Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.