Konfetti Kidz Therapy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KONFETTI KIDZ THERAPY

Practice address

17901 NW 5TH St Ste 201
Pembroke Pines, FL 33029

Phone

(954) 606-5439

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Melissa Manresa, MS, OTR/LNPI 1013281294

Title

Clinical Director

Phone

(954) 606-5439

Specialties & licenses 8

Addresses

Locations

Practitioners 5

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

• Melissa Manresa, OTR/L

  • Occupational Therapist
  • Doral, FL
  • NPI 1013281294
  NPD Authorized official
• John Stuart Connolly, DPT

  • Physical Therapist
  • Pembroke Pines, FL
  • NPI 1487362596
  NPD (past)
• Bianca Nicole Howell, DPT

  • Physical Therapist
  • Pembroke Pines, FL
  • NPI 1710644596
  NPD (past)
• Melissa Marie Luces

  • Speech-Language Pathologist
  • Pembroke Pines, FL
  • NPI 1619695194
  NPD (past)
• Bianca Alexis Rego, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Pembroke Pines, FL
  • NPI 1023606282
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1508389644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292810",
            "telephone_number": "954-606-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST STE 201",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-606-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONFETTI KIDZ THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "MANRESA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-606-5439",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Koelig Rodriguez
• Christian Kokinakos, M.D.
• Ewa Kolanko, M.D.
• Anita Komninakis
• Michayla Noelle Konen, MOT
• Marcus Konner, DO
• Jorge Konopka, M.D.
• Benjamin Richard Kores, PT
• Courtney Ann Korf, APRN
• Rana Korkis

• Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.