KREATIVE KIDS THERAPY CENTER CO (NPI# 1134563075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134563075 |
| Entity Type | Organization |
| Organization Name | KREATIVE KIDS THERAPY CENTER CO |
| Other Organization Name | KREATIVE THERAPY SERVICES |
| Practice Address |
8491 Nw 17th St Ste 110 Doral FL 33126-1025 |
| Practice Telephone | 3054565542 |
| Practice Fax Number | 7863640119 |
| Mailing Telephone | 3054565542 |
| Mailing Fax Number | 3054420594 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | MRS. KATY ECHEVARRIA (PRESIDENT) |
| Authorized Official Telephone | 3053059665 |
| Authorized Official Credential | SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kreative Therapy Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8257 Sw 124th St, Pinecrest, FL 331565900 | 3054565542 | 7863640119 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KREATIVE KIDS THERAPY CENTER CO. | 8491 Nw 17th St Ste 110, Miami, FL 33126-1025 |
| Street Address |
8491 NW 17TH ST STE 110 |
| City | DORAL |
| State | FL |
| Zip Code | 33126-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003160763 | Yanet Lleras | Specialist/Technologist | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2012-11-02 |
| 1639770381 | Haley C Bokros | Physical Therapist | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2020-11-07 |
| 1558973404 | Kreative Therapy Services Corp | Clinic/Center | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2020-08-21 |
| 1013474840 | Corinne Nicole Mccoy | Occupational Therapist | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2019-02-28 |
| 1437631181 | Franklin J Duarte Diaz | Occupational Therapy Assistant | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2018-08-29 |
| 1578044228 | Savannah Lopez | Occupational Therapy Assistant | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2018-08-21 |
| 1225517121 | Romina Alessandria | Developmental Therapist | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2018-08-10 |
| 1649757295 | Coralie Patricia Louis | Occupational Therapist | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2018-07-26 |
| 1639667348 | Alexsa Valdes | Occupational Therapist | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2018-04-27 |
| 1144730300 | Nicole C Rodriguez | Speech-Language Pathologist | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1558973404 | Kreative Therapy Services Corp | Clinic/Center | 8491 Nw 17th St Ste 110, Doral, FL 33126-1025 | 2020-08-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.