Bold Child Co.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

BOLD CHILD CO.

Practice address

14444 Beach Blvd Ste 28
Jacksonville, FL 32250-2080

Phone

(904) 210-0332

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kate Devalerio, PT, DPT, PCSNPI 1295011567

Title

Co-Owner, Physical Therapist

Phone

(904) 210-0332

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kate C Devalerio, PT, DPT, PCS

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1295011567
  NPD Authorized official

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1740945674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 THE WOODS DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14444 BEACH BLVD STE 28",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502080",
            "telephone_number": "904-210-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD CHILD CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "DEVALERIO",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CO-OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-210-0332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, PCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Fonseca Bolanos, MD
• Jo Ann Mejia Bolante, ARNP
• Amor Tecling Bolatete, PT
• Rotimi Omotunde Bolatiwa, PHARM.D
• Bold Bite Orthodontics PLLC
• Bold City Behavioral Health
• Bold City Behavioral Services
• Bold City Chiropractic LLC
• Bold City Doula Coalition
• Bold City Integrative Care

• Pediatric Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.