KID SPIRIT, INC. (NPI# 1275711889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275711889 |
| Entity Type | Organization |
| Organization Name | KID SPIRIT, INC. |
| Practice Address |
9350 Camelot Dr Fort Myers FL 33919-7980 |
| Practice Telephone | 2393447217 |
| Mailing Telephone | 2393447217 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | JAESEN PETRETTA (OWNER/PARTNER) |
| Authorized Official Telephone | 2398393408 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
OT10199 | FL | Ambulatory Health Care Facilities |
| Street Address |
9350 CAMELOT DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-7980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013906577 | Melanie Aliza Coombs-bynum | Pediatrics | 9350 Camelot Dr, Fort Myers, FL 33919 | 2005-10-18 |
| 1568995041 | Deborah Craig Miller | Pediatrics | 9350 Camelot Dr, Fort Myers, FL 33919 | 2017-04-11 |
| 1225435142 | Sara Joanne Foley | Nurse Practitioner | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2014-11-20 |
| 1942556667 | Heather Tudor | Occupational Therapist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2012-07-31 |
| 1801189659 | Jessica Lynn Schumaker | Nurse Practitioner | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2011-05-25 |
| 1063704971 | Jessica Ferraro | Speech-Language Pathologist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2011-05-10 |
| 1225332323 | Gillian Lukoic | Occupational Therapist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2011-01-04 |
| 1295065902 | Jasmine Marie Reese | Pediatrics | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2009-12-30 |
| 1477724375 | Jennifer Newton | Physical Therapist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2008-03-18 |
| 1407026958 | Dawn A Cox | Speech-Language Pathologist | 9350 Camelot Dr, Fort Myers, FL 33919-7980 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1215402607 | Harbor Wellness Center | Clinic/Center | 4575 Via Royale # 201-203, Fort Myers, FL 33919-1043 | 2018-10-11 |
| 1427358035 | Neuropathy Medical Center of Florida | Clinic/Center | 13700 Cypress Terrace Cir, Fort Myers, FL 33907-8819 | 2010-10-28 |
| 1689165805 | Multi-care Medical of Sw Florida, Pllc | Clinic/Center | 13701 Cypress Terrace Cir, Fort Myers, FL 33907-8828 | 2018-05-23 |
| 1962955971 | Nextep Counseling and Clinical Services | Clinic/Center | 6314 Corporate Ct Ste 110, Fort Myers, FL 33919-3516 | 2016-07-26 |
| 1821459322 | Wellness By Physicians, Inc. | Clinic/Center | 6150 Diamond Centre Ct Bldg 100, Fort Myers, FL 33912-4367 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314163 | Loving Care Pediatric Therapy | Clinic/Center | 140 Pine Ave N, Oldsmar, FL 34677-4629 | 2020-10-20 |
| 1477152460 | Adapting Behaviors, Inc | Clinic/Center | 12440 Sw 143rd Ln, Miami, FL 33186-6035 | 2020-10-20 |
| 1770182073 | Medical Regenerative Centers | Clinic/Center | 1560 Central Ave Unit 462, Saint Petersburg, FL 33705-1627 | 2020-10-19 |
| 1821696766 | Advanced Healthcare Integration, LLC | Clinic/Center | 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 | 2020-10-13 |
| 1952909954 | Therapy On Call, LLC | Clinic/Center | 93 Bella Vita Way, Ormond Beach, FL 32174-6634 | 2020-10-12 |
| 1992318521 | Acuity Urgent Care | Clinic/Center | 310 Nesbit St, Punta Gorda, FL 33950-3828 | 2020-08-24 |
| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| 1689294928 | Pink Petal Health and Wellness Center, LLC. | Clinic/Center | 2101 Sw 101st Ave Ste 206, Miramar, FL 33025-5090 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on KID SPIRIT, INC..
| 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.