Precious Kiddos Therapy Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRECIOUS KIDDOS THERAPY SERVICES LLC

Practice address

7490 Cypress Gardens Blvd
Winter Haven, FL 33884-4104

Phone

(321) 945-1170

Fax

(863) 268-2004

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anithe Pierre Bernard

Title

Owner

Phone

(321) 945-1170

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1518710078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 LADY DIANA DR FL USA",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377678",
            "telephone_number": "321-945-1170",
            "fax_number": "863-268-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 CYPRESS GARDENS BLVD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844104",
            "telephone_number": "321-945-1170",
            "fax_number": "863-268-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS KIDDOS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "PIERRE BERNARD",
        "authorized_official_first_name": "ANITHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-945-1170"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessy Alothu Pothen
• Venkat Sumanth Potluri, DO
• Kecia S Powell, PA
• Practitioners Alliance Behavioral
• Precious Kiddos Medical Daycare LLC
• Precious Kiddos Trans Services LLC
• Tejwatie Prem, RPH
• Premier Care Centre LLC (Family Holistic Wellness)
• Cassia Grace Price
• Blas Christian Prieto, DO

• Clinic/Center in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.