Organization Active NPI

Kfi Speech Therapy, Professional Corporation

  • Speech-Language Pathologist
  • San Juan Capistrano, CA
National Provider Identifier
1841756582
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KFI SPEECH THERAPY, PROFESSIONAL CORPORATION
Practice address
27184 Ortega Hwy Ste 103
San Juan Capistrano, CA 92675-2796
Phone
(949) 374-4868
Fax
(949) 606-8262
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Ms. Kymry Hart Fowler, MS-CCCNPI 1851647168
Title
President
Phone
(949) 374-4868

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

27184 Ortega Hwy Ste 103
San Juan Capistrano, CA 92675-2796

Mailing address

127 Avenida Serra Apt B
San Clemente, CA 92672-6780
Phone (949) 374-4868

Other names 2

  • KFI Speech Therapy Doing business as
  • Kymry Fowler Former legal business name

National Provider Directory

National Provider Directory

Locations

27184 Ortega Hwy
Ste 103
San Juan Capistrano, CA 92675
Phone (949) 374-4868

Practitioners & affiliated clinicians

Practitioners 1

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": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1841756582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 AVENIDA SERRA APT B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726780",
            "telephone_number": "949-374-4868",
            "fax_number": "888-420-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27184 ORTEGA HWY STE 103",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752796",
            "telephone_number": "949-374-4868",
            "fax_number": "949-606-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KFI SPEECH THERAPY, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KYMRY",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-374-4868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KFI Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kymry Fowler",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.