FLORIDA KIDS THERAPY SERVICES LLC (NPI# 1215435037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215435037 |
| Entity Type | Organization |
| Organization Name | FLORIDA KIDS THERAPY SERVICES LLC |
| Practice Address |
11512 Lake Mead Ave Unit 604 Jacksonville FL 32256-9686 |
| Practice Telephone | 9046525408 |
| Practice Fax Number | 8776525052 |
| Mailing Telephone | 9046525408 |
| Mailing Fax Number | 8776525052 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | JESSICA BETH OTTO (DIRECTOR) |
| Authorized Official Telephone | 9046525408 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
11512 LAKE MEAD AVE UNIT 604 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-9686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609045756 | Lymphedema Treatment Center LLC | Occupational Therapist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2008-02-22 |
| 1386257335 | Elizabeth Bond | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2020-08-28 |
| 1225655855 | Kayla Ramsey | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2020-06-30 |
| 1194354308 | Mikayla Marie Oldham | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2020-04-08 |
| 1477183341 | Jaime Lee Trossevin | Occupational Therapist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2020-01-20 |
| 1073169389 | Karla Peck | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2019-08-13 |
| 1164074183 | Erin Ruby | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2019-07-10 |
| 1245794312 | Chen Xia | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2019-01-23 |
| 1891259974 | Thoroughfare Consulting LLC | Speech-Language Pathologist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2019-01-23 |
| 1295239663 | Alexandra M Steele | Occupational Therapist | 11512 Lake Mead Ave Unit 604, Jacksonville, FL 32256-9686 | 2018-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848514 | Danielle Huckaba | Speech-Language Pathologist | 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 | 2020-07-22 |
| 1699392209 | Paige E Searcy | Speech-Language Pathologist | 907 Greenridge Rd, Jacksonville, FL 32207-5251 | 2020-06-30 |
| 1568086619 | Carmen Schneider | Speech-Language Pathologist | 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 | 2020-06-04 |
| 1730702713 | Jennifer Horn Debardeleben | Speech-Language Pathologist | 2101 W Palm Ave, Jacksonville, FL 32254-1734 | 2020-05-25 |
| 1508485509 | Growing Voices Therapies, LLC | Speech-Language Pathologist | 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 | 2020-04-10 |
| 1215561352 | Lori Connon | Speech-Language Pathologist | 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 | 2020-02-27 |
| 1922631779 | Homegrown Communication-slp, LLC | Speech-Language Pathologist | 5163 Shirley Ave, Jacksonville, FL 32210-3145 | 2020-02-20 |
| 1194357517 | Lauren Lynne Blunk | Speech-Language Pathologist | 1010 N Davis St, Jacksonville, FL 32209-6824 | 2020-02-05 |
| 1669018255 | Ying Dong | Speech-Language Pathologist | 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 | 2019-11-19 |
| 1710543764 | Lesley Nicole Summers | Speech-Language Pathologist | 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 | 2019-05-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on FLORIDA KIDS THERAPY SERVICES LLC.
| 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.