Kids Therapy

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Legal business name

KIDS THERAPY

Practice address

2161 E New Bedford Dr
Gilbert, AZ 85234-3865

Phone

(480) 717-7084

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Fatima JacksonNPI 1528579653

Title

Slpa

Phone

(480) 717-7084

Specialties & licenses 1

Addresses

Other names 1

• Kids Therapy Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fatima Jackson

  • Speech-Language Assistant
  • Phoenix, AZ
  • NPI 1528579653
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1730724618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 E NEW BEDFORD DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343865",
            "telephone_number": "480-717-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E NEW BEDFORD DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343865",
            "telephone_number": "480-717-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "SLPA",
        "authorized_official_telephone_number": "480-717-7084"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kids Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Luna Khzouz, NP
• Ki-Ezy Changes
• Seol Ki, LCSW
• Denise Kiburi, LPC
• Kidiatric Dentistry, PLLC
• Kidspeech Therapy, LLC
• Kieborz PLLC
• Timothy Kieborz, DO
• Allyson Kiefer
• Jacqueline Kienholz, PA

• Speech-Language Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Assistant in Arizona

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