Kids Connection Therapy LLC
Organization Active NPI Early Intervention Provider Agency · Longwood, FL
NPI 1720144371 · NPPES record last updated Feb 9, 2022
Key facts
- NPI
- 1720144371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Legal business name
- KIDS CONNECTION THERAPY LLC
- Practice address
- 147 Parsons Rd
Longwood, FL 32779-2748 - Phone
- (407) 252-4651
- Fax
- (407) 641-8633
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Nika Catherine Palceski, CCC-SLP
- Title
- Managing Member
- Phone
- (407) 252-4651
Corporate family (same tax ID) 1
Practitioners 13
-
Janice Pacheco, BS,RBT
National Provider Directory
- Tax ID family
- Kids Connection Therapy
Locations
941 W Morse Blvd
Ste 130
Winter Park, FL 32789
Phone (321) 214-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist |
222Q00000X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Home Health Agency | 251E00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
147 Parsons Rd
Longwood, FL 32779-2748
Mailing address
147 Parsons Rd
Longwood, FL 32779-2748
Phone (407) 252-4651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811677600 | Medicaid | FL |
Other names
- Kids Connection Therapy
Other providers in Longwood, FL
- Nicole Kemp
- Jeremiah Kenney- Wright
- Taylor Shea Keyser
- Hyndi E Khomutetsky
- Kids Connection Therapy LLC
- Kids Plus Services Inc
- Bumsoo Kim
- Kimberly Watson, D.C., P.a.
- Amy Rachel Kimble
- Alyssa Katelyn King
All providers in Longwood, FL · Early Intervention Provider Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.