PEDIATRIC THERAPIES OF NORTHWEST FLORIDA, LLC (NPI# 1073913893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073913893 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPIES OF NORTHWEST FLORIDA, LLC |
| Practice Address |
7840 Lilac Ln Apt 508 Pensacola FL 32514-7668 |
| Practice Telephone | 8502609016 |
| Practice Fax Number | 8509128561 |
| Mailing Telephone | 8502609016 |
| Mailing Fax Number | 8509128561 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Authorized Official Name | MR. TYLER RUSSELL STEVERSON (OWNER) |
| Authorized Official Telephone | 8502609016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
7840 LILAC LN APT 508 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593746 | Christine Chaffin Counseling | Community/Behavioral Health | 112 N B St, Pensacola, FL 32502-4604 | 2020-06-24 |
| 1376090522 | Loving Hands | Community/Behavioral Health | 3101 W Jackson St, Pensacola, FL 32505-7651 | 2016-09-06 |
| 1982083853 | Adult and Child Counseling Services, Inc. | Community/Behavioral Health | 6706 N. 9th Ave. Suite B5, Pensacola, FL 32504 | 2015-05-26 |
| 1902246200 | Amikids Escambia Boy's Base | Community/Behavioral Health | Corry Station Corry Fld Bldg 3780, Pensacola, FL 32511-0001 | 2013-07-01 |
| 1992049845 | Supportive Counseling Services Inc. | Community/Behavioral Health | 7241 Shelby Ln, Pensacola, FL 32526-5222 | 2012-11-15 |
| 1295009413 | Anchorage Counseling Service, Inc | Community/Behavioral Health | 7100 Plantation Rd Ste 11, Pensacola, FL 32504-6234 | 2012-03-06 |
| 1346540671 | Better Brain Services LLC | Community/Behavioral Health | 701 S Palafox St, Pensacola, FL 32502-5935 | 2010-11-03 |
| 1477706570 | Unlocking Potential LLC | Community/Behavioral Health | 7 E Desoto St, Pensacola, FL 32501-3152 | 2008-11-03 |
| 1427270610 | Communnity Drug and Alcohol Council, Inc. | Community/Behavioral Health | 3804 North 9th Ave., Pensacola, FL 32505 | 2007-05-03 |
| 1225118821 | Children's Home Society of Florida | Community/Behavioral Health | 1300 N Palafox St, Suite 101, Pensacola, FL 32501-2664 | 2006-10-17 |
| Find all providers in PENSACOLA | ||||
Please comment or provide details below to improve the information on PEDIATRIC THERAPIES OF NORTHWEST FLORIDA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.