NPIMap

Organization Active NPI

Kan Therapy LLC

  • Physical Therapist
  • Parkland, FL
National Provider Identifier
1841596079
Registry record updated Feb 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23542 Issued in FL
Legal business name
KAN THERAPY LLC
Practice address
7627 Old Thyme CT
Parkland, FL 33076-3904
Phone
(954) 558-1786
NPI assigned
Feb 5, 2011
Last updated
Feb 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2011

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

Authorized official

Name
Jean Desravins, MSPTNPI 1366620221
Title
Owner
Phone
(954) 558-1786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT23542 FL Primary

Addresses

Primary practice location

7627 Old Thyme CT
Parkland, FL 33076-3904

Mailing address

7627 Old Thyme CT
Parkland, FL 33076-3904
Phone (954) 558-1786

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296864000000",
    "number": "1841596079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 OLD THYME CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763904",
            "telephone_number": "954-558-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7627 OLD THYME CT",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330763904",
            "telephone_number": "954-558-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-05",
        "last_updated": "2011-02-05",
        "status": "A",
        "authorized_official_last_name": "DESRAVINS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-558-1786",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.