Provider Demographics
NPI:1770461535
Name:STAR KIDS THERAPY LLC
Entity type:Organization
Organization Name:STAR KIDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REYNIER
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-567-0927
Mailing Address - Street 1:12311 SW 41ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3054
Mailing Address - Country:US
Mailing Address - Phone:786-567-0927
Mailing Address - Fax:
Practice Address - Street 1:12311 SW 41ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3054
Practice Address - Country:US
Practice Address - Phone:786-567-0927
Practice Address - Fax:305-397-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty