Florida Kids Therapy Associates LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT8077 Issued in FL

Legal business name

FLORIDA KIDS THERAPY ASSOCIATES LLC

Doing business as

Florida kids Therapy Associates LLC

Practice address

17037 S Dixie Hwy
Palmetto Bay, FL 33157-4362

Phone

(786) 732-0384

Fax

(305) 767-1461

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Rafael Sierra

Title

Manager

Phone

(786) 732-0384

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Florida kids Therapy Associates LLC Doing business as

Locations

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871023150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17037 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574362",
            "telephone_number": "786-732-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17037 S DIXIE HWY",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331574362",
            "telephone_number": "786-732-0384",
            "fax_number": "305-767-1461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 SW 40th St Ste 377",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553708",
            "country_code": "US",
            "telephone_number": "786-529-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA KIDS THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-732-0384"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA12521",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT26302",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT8077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366887341",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831320126",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida kids Therapy Associates LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn Marie Flores
• Miriam Flores
• Florida ENT Associates, Inc. (South Florida ENT Associates, Inc.)
• Florida Health Care Clinic, LLC
• Florida Home Education Program
• Florida Woman Care,LLC
• Floridian Dental at Palmetto Bay, LLC (Floridian Dental at Palmetto Bay)
• Roberto Ramon Fonseca Perez
• Paula Fontanes
• Arnold Robert Fonticiella, LCSW

• Pediatric Occupational Therapist in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.