Active NPI
Kanga Dyslexia and Therapy Services
- Clinic/Center
- Haines City, FL
National Provider Identifier
1902123672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KANGA DYSLEXIA AND THERAPY SERVICES
- Practice address
- 125 Bream St
Haines City, FL 33844-9621 - Phone
- (863) 409-2994
- Fax
- (863) 438-7064
- NPI assigned
- Apr 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Debbie Copple, MS CCC/SLP
- Title
- President
- Phone
- (863) 409-2994
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 5861 | FL | |
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
125 Bream St
Haines City, FL 33844-9621
Mailing address
125 Bream St
Haines City, FL 33844-9621
Phone (863) 409-2994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002119000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Kanga Dyslexia and Therapy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Haines City, FL
- NPI 1003447152
Locations
244 E Park Ave
Lake Wales, FL 33853
Phone (863) 605-4616
1 Scenic Central
Lake Wales, FL 33853
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Haines City, FL
- NPI 1366682783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683590400000",
"number": "1902123672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BREAM ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338449621",
"telephone_number": "863-409-2994",
"fax_number": "863-438-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BREAM ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338449621",
"telephone_number": "863-409-2994",
"fax_number": "863-438-7064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANGA DYSLEXIA AND THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A",
"authorized_official_last_name": "COPPLE",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-409-2994",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS CCC/SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 5861",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002119000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.