Kidiatrix Therapy, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

KIDIATRIX THERAPY, INC.

Practice address

6614 SW 114TH PL
Unit B
Miami, FL 33173-1781

Phone

(305) 491-3960

Fax

(305) 596-4676

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Amy K. Kelble

Title

Director, President

Phone

(305) 491-3960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1811225634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 SW 114TH PL",
            "address_2": "UNIT B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731781",
            "telephone_number": "305-491-3960",
            "fax_number": "305-596-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 SW 114TH PL",
            "address_2": "UNIT B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731781",
            "telephone_number": "305-491-3960",
            "fax_number": "305-596-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDIATRIX THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "KELBLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "305-491-3960"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.