Organization Active NPI

The Wonderkids Center, LLC

  • Physical Therapy Clinic/Center
  • Lauderhill, FL
National Provider Identifier
1659942878
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THE WONDERKIDS CENTER, LLC
Practice address
7100 W Commercial Blvd Ste 104
Lauderhill, FL 33319-2147
Phone
(754) 206-2953
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Luis Yance
Title
Owner
Phone
(786) 602-0904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7100 W Commercial Blvd Ste 104
Lauderhill, FL 33319-2147

Mailing address

7100 W Commercial Blvd Ste 104
Lauderhill, FL 33319-2147
Phone (754) 206-2953

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lauderhill

National Provider Directory

National Provider Directory
Tax ID family
The Wonderkids Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7100 W Commercial Blvd
Ste 104
Lauderhill, FL 33319
Phone (754) 206-2953

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": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1659942878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W COMMERCIAL BLVD STE 104",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192147",
            "telephone_number": "754-206-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W COMMERCIAL BLVD STE 104",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333192147",
            "telephone_number": "754-206-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WONDERKIDS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "YANCE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-602-0904"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lauderhill",
            "affiliation": "N",
            "address_1": "7100 W Commercial Blvd Ste 104",
            "city": "Lauderhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333192147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.