Active NPI
KG Therapy LLC
- Occupational Medicine Clinic/Center
- Boca Raton, FL
National Provider Identifier
1700280559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- OT14978
- Legal business name
- KG THERAPY LLC
- Practice address
- 1015 Spanish River Rd
#304
Boca Raton, FL 33432-7677 - Phone
- (561) 504-0315
- Fax
- (561) 533-9918
- NPI assigned
- Oct 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kasandra Gehring, OTR/L
- Title
- Director
- Phone
- (561) 504-0315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | OT14978 | FL | Primary |
Addresses
Primary practice location
1015 Spanish River Rd
#304
Boca Raton, FL 33432-7677
Mailing address
1015 Spanish River Rd
#304
Boca Raton, FL 33432-7677
Phone (561) 504-0315
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415059200000",
"number": "1700280559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 SPANISH RIVER RD",
"address_2": "#304",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327677",
"telephone_number": "561-504-0315",
"fax_number": "561-533-9918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SPANISH RIVER RD",
"address_2": "#304",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334327677",
"telephone_number": "561-504-0315",
"fax_number": "561-533-9918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KG THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2014-11-04",
"status": "A",
"authorized_official_last_name": "GEHRING",
"authorized_official_first_name": "KASANDRA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "561-504-0315",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "FL",
"license": "OT14978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.