Organization Active NPI

Creative Kids Therapy Inc

  • Clinic/Center
  • Miami Lakes, FL
National Provider Identifier
1942842968
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CREATIVE KIDS THERAPY INC
Practice address
5901 NW 151St St Ste 124
Miami Lakes, FL 33014-2454
Phone
(786) 432-5099
Fax
(786) 432-5100
NPI assigned
Oct 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Ms. Cristina Maria Marquez
Title
President
Phone
(786) 432-5099

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Early Intervention Provider Agency 252Y00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5901 NW 151St St Ste 124
Miami Lakes, FL 33014-2454

Mailing address

5901 NW 151St St Ste 124
Miami Lakes, FL 33014-2454
Phone (786) 432-5099

Other identifiers 1

IdentifierTypeStateIssuer
104541800MedicaidFL

National Provider Directory

National Provider Directory

Locations

14505 Commerce Way
Ste 545
Miami Lakes, FL 33016
Phone (305) 456-9062

5881 NW 151st St
Ste 126
Miami Lakes, FL 33014
Phone (786) 432-5099

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1942842968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NW 151ST ST STE 124",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142454",
            "telephone_number": "786-432-5099",
            "fax_number": "786-432-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 NW 151ST ST STE 124",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142454",
            "telephone_number": "786-432-5099",
            "fax_number": "786-432-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE KIDS THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-432-5099",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104541800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.