Organization Active NPI

Kids of God Center Care Ppec LLC

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1881401388
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIDS OF GOD CENTER CARE PPEC LLC
Practice address
4702 E Busch Blvd
Tampa, FL 33617-6000
Phone
(321) 424-1824
NPI assigned
Dec 17, 2024
Reactivated
Oct 29, 2026
Last updated
Oct 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Authorized official

Name
Betzaida Perez
Title
Owner
Phone
(321) 438-3688

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Clinic/Center 261Q00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

4702 E Busch Blvd
Tampa, FL 33617-6000

Mailing address

4702 E Busch Blvd
Tampa, FL 33617-6000
Phone (321) 424-1824

National Provider Directory

National Provider Directory
Tax ID family
Kids of God Center Care Ppec LLC2 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

4702 E Busch Blvd
Tampa, FL 33617
Phone (321) 424-1824

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793232000000",
    "number": "1881401388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 E BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176000",
            "telephone_number": "321-424-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 E BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336176000",
            "telephone_number": "321-424-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS OF GOD CENTER CARE PPEC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2026-10-29",
        "certification_date": "2025-04-29",
        "deactivation_date": "2026-07-16",
        "reactivation_date": "2026-10-29",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "BETZAIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-438-3688"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 29, 2026; 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.