NPIMap

Organization Active NPI

Kids Quality Therapy Inc.

  • Pediatric Physical Therapist
  • Hialeah, FL
National Provider Identifier
1538428446
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT26138 Issued in FL
Legal business name
KIDS QUALITY THERAPY INC.
Practice address
1550 W 84TH St
Suite 58
Hialeah, FL 33014-3377
Phone
(305) 985-6122
Fax
(786) 545-7657
NPI assigned
May 11, 2012
Last updated
Mar 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Dr. Jessielynn Avila, DPTNPI 1679877849
Title
Director/Owner
Phone
(305) 985-6122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT26138 FL Primary
Physical Therapy Assistant 225200000X PTA24257 FL
Pediatric Occupational Therapist 225XP0200X OT13788 FL
Speech-Language Pathologist 235Z00000X SA12054 FL

Addresses

Primary practice location

1550 W 84TH St
Suite 58
Hialeah, FL 33014-3377

Mailing address

1550 W 84TH St
Suite 58
Hialeah, FL 33014-3377
Phone (305) 985-6122

Other identifiers 1

IdentifierTypeStateIssuer
005450500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1550 W 84th St
Ste 58
Hialeah, FL 33014
Phone (305) 985-6122

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1538428446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST",
            "address_2": "SUITE 58",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143377",
            "telephone_number": "305-985-6122",
            "fax_number": "786-545-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST",
            "address_2": "SUITE 58",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143377",
            "telephone_number": "305-985-6122",
            "fax_number": "786-545-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS QUALITY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "JESSIELYNN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "305-985-6122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT26138",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24257",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT13788",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005450500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.