KIDSPACE THERAPY, LLC
NPI 1184019184
Clinic/Center - Developmental Disabilities in Longview, WA

Q: What is Kidspace Therapy, LLC's NPI number?

The NPI number for Kidspace Therapy, LLC is 1184019184. It was assigned to this organization in the NPPES registry on April 6, 2015.

Q: What is Kidspace Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since April 06, 2015

2145 TIBBETTS DR STE A, LONGVIEW, WA 98632(360) 560-1972(360) 703-3452 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2020, Jul 15, 2019 (2 updates tracked since 2019).

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About Kidspace Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDSPACE THERAPY, LLC (NPI 1184019184) is a healthcare organization registered as a developmental disabilities in Longview, Washington and active in the NPI registry since April 2015. The organization lists Leslie Kay Wolff, Owner, as its authorized official.

NPPES Registry Identity

NPI1184019184

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameKIDSPACE THERAPY, LLC

Location Address2145 TIBBETTS DR STE ALongview, WA 98632-4211

Mailing Address2145 Tibbetts Dr Ste ALongview, WA 98632-4211 · (360) 560-1972 · Fax (360) 703-3452

Phone(360) 560-1972

Fax(360) 703-3452

Organization SubpartNo

Authorized OfficialLeslie Kay WolffOwner · (360) 560-1972

Enumeration DateApril 6, 2015

Last NPPES UpdateJuly 15, 20202 updates tracked since enumeration

NPPES CertifiedJuly 15, 2020

✔ NPI 1184019184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in WA · 603464065

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedClinic/CenterTaxonomy 261Q00000X · License OT00001294 (WA)

2145 TIBBETTS DR STE A, Longview, WA 98632

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Other Identifiers 3

Other1801921531WA · Individual Npi

Medicaid2043730WA

Other603464065WA · Ubi

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY BAIERL MS, CCC-SLP

Speech-Language Pathologist

2145 TIBBETTS DR STE A
LONGVIEW, WA 98632

Cowlitz County (360) 560-1972

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidspace Therapy, LLC's NPI number?

The NPI number for Kidspace Therapy, LLC is 1184019184. It was assigned to this organization in the NPPES registry on April 6, 2015.

Where is Kidspace Therapy, LLC located?

Kidspace Therapy, LLC is located at 2145 Tibbetts Dr Ste A, Longview, WA 98632. The listed phone number is (360) 560-1972.

What is Kidspace Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Kidspace Therapy, LLC was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.