Organization Active NPI

Tampa Kids Therapy, LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1841647112
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
17239 Issued in FL
Legal business name
TAMPA KIDS THERAPY, LLC
Practice address
3401 S Macdill Ave
Tampa, FL 33629-8896
Phone
(813) 399-0722
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Kristen Humphrey, OTR/LNPI 1659729713
Title
Occupational Therapist
Phone
(386) 316-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 17239 FL Primary

Addresses

Primary practice location

3401 S Macdill Ave
Tampa, FL 33629-8896

Mailing address

3603 W Granada St
Tampa, FL 33629-6917

Other identifiers 1

IdentifierTypeStateIssuer
5151MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Tampa Kids Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3401 S Macdill Ave
Tampa, FL 33629
Phone (813) 399-0722

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1841647112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 W GRANADA ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298896",
            "telephone_number": "813-399-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA KIDS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "386-316-8400",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "17239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5151",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.