Active NPI
Kathryn Marie Ross X
- Developmental Therapist
- Orlando, FL
National Provider Identifier
1982028809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- R200513947460
- Practice address
- 11751 College Park TRL
Orlando, FL 32826-3976 - Phone
- (954) 993-2802
- NPI assigned
- Feb 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | R200513947460 | FL | Primary |
Addresses
Primary practice location
11751 College Park TRL
Orlando, FL 32826-3976
Mailing address
11751 College Park TRL
Orlando, FL 32826-3976
Phone (954) 993-2802
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R200513947460 | FL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1982028809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11751 COLLEGE PARK TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328263976",
"telephone_number": "954-993-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11751 COLLEGE PARK TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328263976",
"telephone_number": "954-993-2802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"name_prefix": "Miss",
"name_suffix": "X",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-12",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "R200513947460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.