KINETIC KIDS, INC (NPI# 1528323292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528323292 |
| Entity Type | Organization |
| Organization Name | KINETIC KIDS, INC |
| Practice Address |
11251 Nw 20th St #118 Miami FL 33172-1859 |
| Mailing Address |
1000 West Ave #1411 Miami Beach FL 33139-4759 |
| Practice Telephone | 3057789198 |
| Practice Fax Number | 3055351361 |
| Mailing Telephone | 3057789198 |
| Mailing Fax Number | 3055351361 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | MRS. JENNIFER GOBER (DIRECTOR) |
| Authorized Official Telephone | 3057789198 |
| Authorized Official Credential | MSOT, OTR/L, C-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
14828 | FL | Ambulatory Health Care Facilities |
| Street Address |
11251 NW 20TH ST #118 |
| City | MIAMI |
| State | FL |
| Zip Code | 33172-1859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881919652 | Dialysis Ruberman Lamadrid Corp | Clinic/Center | 11251 Nw 20th St, Suite 104 & 105, Miami, FL 33172-1859 | 2010-04-05 |
| 1609247709 | Jacklyn Roiz-rivera | Speech-Language Pathologist | 11251 Nw 20th St, Miami, FL 33172-1859 | 2015-10-14 |
| 1750772307 | Hanna Pardi | Occupational Therapist | 11251 Nw 20th St, 118, Miami, FL 33172-1859 | 2015-02-17 |
| 1518376631 | Dayilien Lazcano | Physical Therapy Assistant | 11251 Nw 20th St, Suite 118, Miami, FL 33172-1859 | 2014-08-04 |
| 1568898757 | Alexis Diaz | Speech-Language Pathologist | 11251 Nw 20th St, Suite 118, Miami, FL 33172-1859 | 2013-09-19 |
| 1538466446 | Stefanie Saliba | Occupational Therapist | 11251 Nw 20th St, Miami, FL 33172-1859 | 2011-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1871103721 | Ncg Home Health Inc | Clinic/Center | 17030 Sw 138th Ct, Miami, FL 33177-6493 | 2020-08-05 |
| 1063048601 | Lema Care Corp | Clinic/Center | 14150 Sw 84th St, Miami, FL 33183-4496 | 2020-03-16 |
| 1629603394 | Gardens Group Home Corp | Clinic/Center | 14502 Sw 18th St, Miami, FL 33175-7074 | 2020-03-03 |
| 1275166100 | Gallego Adult Home, Inc. | Clinic/Center | 12820 Sw 74th St, Miami, FL 33183-3410 | 2020-02-19 |
| 1841820636 | Kenya Scott | Clinic/Center | 1798 Nw 76th St, Miami, FL 33147-6150 | 2020-01-21 |
| 1063051886 | Angels Home Caring Services Inc | Clinic/Center | 10300 Sw 72nd St Ste 468, Miami, FL 33173-3028 | 2019-12-26 |
| Find all providers in MIAMI | ||||
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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.