Healthcare Provider Details

I. General information

NPI: 1720916539
Provider Name (Legal Business Name): KIDSMART THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20131 SW 128TH CT
MIAMI FL
33177-5541
US

IV. Provider business mailing address

20131 SW 128TH CT
MIAMI FL
33177-5541
US

V. Phone/Fax

Practice location:
  • Phone: 786-548-5645
  • Fax:
Mailing address:
  • Phone: 786-548-5645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA D RAMIREZ
Title or Position: OWNER
Credential: SLP
Phone: 786-548-5645