Individual provider Active NPI

Kelley June Deturo, M.ED.

  • Developmental Therapist
  • Fruitland Park, FL
National Provider Identifier
1922210509
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
3261 US Hwy 441 Suite B3
Fruitland Park, FL 34731-4497
Phone
(352) 323-0612
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

3261 US Hwy 441 Suite B3
Fruitland Park, FL 34731-4497

Mailing address

13124 S Sunset Ter
Winter Garden, FL 34787-9675
Phone (407) 654-2686

Other identifiers 1

IdentifierTypeStateIssuer
811868000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KDETURO@ESNECFL.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

Interoperability endpoints

  • Direct secure messaging: kdeturo@esnecfl.org

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1922210509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13124 S SUNSET TER",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879675",
            "telephone_number": "407-654-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 US HWY 441 SUITE B3",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347314497",
            "telephone_number": "352-323-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETURO",
        "first_name": "KELLEY",
        "middle_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811868000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KDETURO@ESNECFL.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3261 US HWY 441 Suite B3",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347314497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.