NPI Code Details Logo

NPI 1356987259

NPI 1356987259 : CLEVER KIDS THERAPY CENTER : KEY LARGO, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1356987259
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CLEVER KIDS THERAPY CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/26/2019
-----------------------------------------------------
    Last Update Date     |    06/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1 BOWEN DR STE 1 
-----------------------------------------------------
    City                 |    KEY LARGO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33037-2902
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    305-704-0313
-----------------------------------------------------
    Fax                  |    786-901-8353
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    100670 OVERSEAS HWY 
-----------------------------------------------------
    City                 |    KEY LARGO
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33037-2561
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    786-812-8927
-----------------------------------------------------
    Fax                  |    786-901-8353
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT/OCCUPATIONAL THERAPIST
-----------------------------------------------------
    Name                 |     YULAIDY  LOPEZ 
-----------------------------------------------------
    Credential           |    OTR/L
-----------------------------------------------------
    Telephone            |    786-812-8927
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.