Kids Therapy Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KIDS THERAPY CENTER LLC

Practice address

17011 N Bay Rd Apt 1015
Sunny Isles Beach, FL 33160-3634

Phone

(305) 731-1602

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Ray Daniel Pernia

Title

Owner

Phone

(305) 731-1602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1780434134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17011 N BAY RD APT 1015",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17011 N BAY RD APT 1015",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603634",
            "telephone_number": "305-731-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PERNIA",
        "authorized_official_first_name": "RAY DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-731-1602"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elmira Khazak
• Natalya Klyuchko, APRN
• Olga Koriakova
• Galina Kotlyar, MS RD LDN
• Sofia Lam, MD
• Grigoriy Lamdan, RPH, PHARMD

• Physical Therapy Clinic/Center in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.