Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1154992501
Kidspace Therapy Center
Organization Subpart: NO
Active
NPI Number1154992501
NPI TypeNPI-2 Organization
SpecialtyEarly Intervention Provider Agency
Provider Details
NPI1154992501
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2021-07-07
Last Updated2021-07-07
Authorized OfficialRaul Soto
Director of Operations
Phone: 3057057702
Mailing Address15291 Nw 60th Ave Ste 101
Miami Lakes, FL 33014-2459
United States
📍 View Map
Primary Practice Address15291 Nw 60th Ave Ste 101
Miami Lakes, FL 33014-2459
United States
Phone: (305) 705-7702
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL0-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes252Y00000X – Early Intervention Provider Agency--
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About NPI 1154992501

Kidspace Therapy Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1154992501. The primary specialty listed is Early Intervention Provider Agency. The organization is located in Miami Lakes, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-07-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154992501?

NPI 1154992501 belongs to Kidspace Therapy Center, a Early Intervention Provider Agency in Miami Lakes, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154992501 active?

The current status of NPI 1154992501 in the NPPES registry is Active. The record was last updated on 2021-07-07.

What specialty is NPI 1154992501?

NPI 1154992501 is classified under the taxonomy Early Intervention Provider Agency. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1154992501?

You can verify NPI 1154992501 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1154992501?

The primary practice address on file for NPI 1154992501 is 15291 Nw 60th Ave Ste 101, Miami Lakes, FL 33014-2459. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154992501 issued?

NPI 1154992501 was first issued (enumerated) on 2021-07-07. The NPPES record was last updated on 2021-07-07.

Practice Location Map

Kidspace Therapy Center is located at 15291 Nw 60th Ave Ste 101, Miami Lakes, FL. Use the map below to find directions or verify the practice location.

📍 15291 Nw 60th Ave Ste 101, Miami Lakes, FL 33014-2459  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kidspace Therapy Center. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162