Organization
KIDS QUALITY THERAPY INC.
Active
Organization
KIDS QUALITY THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSIELYNN AVILA DPT (DIRECTOR/OWNER)
(305) 985-6122
Entity
Organization
Contact information
Practice address
1550 W 84TH ST, SUITE 58, HIALEAH, FL 33014-3377
(305) 985-6122
(786) 545-7657
Mailing address
1550 W 84TH ST, SUITE 58, HIALEAH, FL 33014-3377
(305) 985-6122
(786) 545-7657
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT26138
FL
225200000X
Physical Therapy Assistant
PTA24257
FL
225XP0200X
Pediatric Occupational Therapist
OT13788
FL
235Z00000X
Speech-Language Pathologist
SA12054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005450500
—
FL
Enumeration date
05/11/2012
Last updated
03/21/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up