Kids Talk Place, LLC Dba Pediatric Therapy Center

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

KIDS TALK PLACE, LLC DBA PEDIATRIC THERAPY CENTER

Practice address

4100 S Ferdon Blvd Ste A1
Crestview, FL 32536-5287

Phone

(850) 682-8388

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Meme Smith

Title

Owner/ Speech Language Pathologist

Phone

(850) 982-5798

Specialties & licenses 1

Addresses

Practitioners 1

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

• Alexandra Van Dyke

  • Speech-Language Pathologist
  • Crestview, FL
  • NPI 1881395754
  NPD

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1821798786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BISCAYNE BLVD",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S FERDON BLVD STE A1",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365287",
            "telephone_number": "850-682-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS TALK PLACE, LLC DBA PEDIATRIC THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MEME",
        "authorized_official_title_or_position": "OWNER/ SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "850-982-5798"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Grace Kendall, FNP
• Tonisha Kenty, LPN
• Melinda S Kidder, DHA, MSN, RN, CENP
• Kids Dental Place
• Kids Talk Place LLC
• Jennifer Kilgore
• Connie Rhoades Killam, APRN
• Kineticore Rehab Inc.
• Kirk Howard OD PA
• Amber L Kling

• Hearing and Speech Clinic/Center in Crestview, FL
• Providers in Crestview, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.