NPIMap

Organization Active NPI

Komo Therapy, LLC

  • Pediatric Occupational Therapist
  • Largo, FL
National Provider Identifier
1710621875
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
KOMO THERAPY, LLC
Practice address
10570 127TH Ave
Largo, FL 33773-1026
Phone
(727) 244-5865
Fax
(727) 812-8185
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Mrs. Karen Didovets, COTA/ LNPI 1831351501
Title
Owner
Phone
(727) 244-5865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

10570 127TH Ave
Largo, FL 33773-1026

Mailing address

10570 127TH Ave
Largo, FL 33773-1026
Phone (727) 244-5865

Other identifiers 1

IdentifierTypeStateIssuer
7272445865MedicaidFL

Other names 1

  • KOMO Therapy, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gmail.com

National Provider Directory

National Provider Directory

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": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1710621875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 127TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731026",
            "telephone_number": "727-244-5865",
            "fax_number": "727-812-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 127TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731026",
            "telephone_number": "727-244-5865",
            "fax_number": "727-812-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMO THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "DIDOVETS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-244-5865",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/ L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7272445865",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gmail.com",
            "affiliation": "N",
            "address_1": "10570 127th Ave",
            "city": "Largo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337731026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KOMO Therapy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.