Organization Active NPI

KG Therapy LLC

  • Occupational Medicine Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1700280559
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
OT14978 Issued in FL
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

Updated by the provider on Nov 4, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.