LIGHTHOUSE PEDIATRIC THERAPY PARTNERS (NPI# 1285250324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285250324 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE PEDIATRIC THERAPY PARTNERS |
| Practice Address |
412 12th Ave N St Petersburg FL 33701-1120 |
| Practice Telephone | 7273449472 |
| Mailing Telephone | 7273449472 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | MS. ALICIA CAPEN (OWNER) |
| Authorized Official Telephone | 7276434049 |
| Authorized Official Credential | MS, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
412 12TH AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336247014 | Therapy & Sports Center, Inc. | Physical Therapist | 412 12th Ave N, St Petersburg, FL 33701-1120 | 2006-09-20 |
| 1477062297 | Alicia P Capen | Speech-Language Pathologist | 412 12th Ave N, St Petersburg, FL 33701-1120 | 2017-09-25 |
| 1194823807 | Richard Charles Hutchins | Physical Therapist | 412 12th Ave N, St Petersburg, FL 33701-1120 | 2006-09-20 |
| 1700984051 | Eric Michael Smith | Physical Therapist | 412 12th Ave N, St Petersburg, FL 33701-1120 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850450 | Jennifer Denise Garcia | Speech-Language Pathologist | 1524 18th Ave N, St Petersburg, FL 33704-3904 | 2020-08-04 |
| 1679199814 | Angela Chen | Speech-Language Pathologist | 5817 Fairfield Ave S Apt 2, St Petersburg, FL 33707-2463 | 2020-06-23 |
| 1821617101 | Andi Hunsinger Speech Pathologist, LLC | Speech-Language Pathologist | 114 27th Ave N, St Petersburg, FL 33704-2925 | 2020-04-16 |
| 1124663349 | Vixen A Wilson-thomas | Speech-Language Pathologist | 2570 Granada Cir W, St Petersburg, FL 33712-3928 | 2019-11-12 |
| 1891341491 | Lauren T. Hoadley | Speech-Language Pathologist | 3530 1st Ave N Ste 120, St Petersburg, FL 33713-8441 | 2019-08-11 |
| 1639724685 | Kailyn Alyssa Demich | Speech-Language Pathologist | 1616 11th St N, St Petersburg, FL 33704-4102 | 2019-08-06 |
| 1104487065 | Unlimited Pediatric Therapy, LLC | Speech-Language Pathologist | 7010 15th St N, St Petersburg, FL 33702-5738 | 2019-06-21 |
| 1578047510 | Rachel Mammolito Judt | Speech-Language Pathologist | 5510 18th Ave N, St Petersburg, FL 33710-5754 | 2018-09-15 |
| 1831697861 | Stephan Kyle Harvey | Speech-Language Pathologist | 1128 Red Maple Cir Ne, St Petersburg, FL 33703-6317 | 2018-01-24 |
| 1174035554 | Ivona Pecovska | Speech-Language Pathologist | 880 6th St S Ste 210, St Petersburg, FL 33701-4823 | 2017-10-25 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
Please comment or provide details below to improve the information on LIGHTHOUSE PEDIATRIC THERAPY PARTNERS.
| 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.