PEDIATRIC LINKS,LLC


Address: 7317 W Jefferson Blvd, Fort Wayne, IN 46804-6237
Phone: 2604188051

PEDIATRIC LINKS,LLC (NPI# 1720370794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720370794
Entity Type Organization
Organization Name PEDIATRIC LINKS,LLC
Practice Address 7317 W Jefferson Blvd
Fort Wayne
IN 46804-6237
Practice Telephone 2604188051
Practice Fax Number 2604893704
Mailing Telephone 2604188051
Mailing Fax Number 2604893704
Enumeration Date 2011-05-10
Last Update Date 2011-05-10
Authorized Official Name AGNES LUCAS VIGILIA-MARAYA (ADMINISTRATOR/OWNER/PRACTITIONER)
Authorized Official Telephone 2604188051
Authorized Official Credential P.T.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2251P0200X Physical Therapist
Specialization: Pediatrics
PT05002613A IN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
PT05002613A IN Ambulatory Health Care Facilities

Office Location

Street Address 7317 W JEFFERSON BLVD
City FORT WAYNE
State IN
Zip Code 46804-6237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518408343 Threelovebugs, LLC Technician, Other 7317 W Jefferson Blvd, Fort Wayne, IN 46804-6237 2017-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396350344 Derek Mumaw Physical Therapist 8420 Illinois Rd, Fort Wayne, IN 46804 2020-09-15
1942840228 Erin M Mason Behavior Technician 5601 Coventry Ln, Fort Wayne, IN 46804 2020-01-14
1346880879 Emily A Abdalla Behavior Technician 5601 Coventry Ln., Fort Wayne, IN 46804 2020-01-13
1083265433 Fort Wayne Endodontics Dentist 9407 Illinois Rd, Fort Wayne, IN 46804 2019-09-26
1689140949 Harrison Dental Group II, LLC Dentist 1333 Getz Rd, Fort Wayne, IN 46804 2018-10-15
1346731908 Erin Nicole Zimmerman Nurse Practitioner 10170 Illinois Rd # 14, Fort Wayne, IN 46804 2018-05-19
1417446022 Mary Harrington Physical Therapist 3320 Copper Hill Run, Fort Wayne, IN 46804 2018-05-09
1942701214 Joshawa Todd Torres Marriage & Family Therapist 5651 Coventry Ln # 116, Fort Wayne, IN 46804 2018-02-22
1194235408 Mitchell Kory Meyer Specialist/Technologist 9125 Yellow Tree Ct, Fort Wayne, IN 46804 2017-10-02
1902324916 Emily Rene Sagstetter Specialist/Technologist 6034 Liberty Glade Ct, Fort Wayne, IN 46804 2017-08-30
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy 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.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306141957 Helping Hands Center for Special Needs Clinic/Center 405 W Wayne St, Fort Wayne, IN 46802-2121 2011-01-12
1215105663 Children's Autism Center, Inc Clinic/Center 6208 Constitution Dr Ste A, Fort Wayne, IN 46804-1585 2008-02-19
1093938102 Interdisciplinary Diagnostic and Evaluation Center, Inc. Clinic/Center 3030 Lake Ave, Suite 7, Fort Wayne, IN 46805-5428 2007-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528674579 Karen Ashley Clinic/Center 2616 French Creek Dr, New Albany, IN 47150-9111 2020-09-16
1811428501 Anchored Care Residential Services LLC Clinic/Center 1800 N Meridian St Ste 401, Indianapolis, IN 46202-1433 2017-03-23
1467812370 Reach Services, Inc. Clinic/Center 1400 Hulman St, Terre Haute, IN 47802-2536 2016-03-04
1114285855 Bierman Aba Inc. Clinic/Center 1025 E 54th St, Indianapolis, IN 46220-3219 2012-05-01
1295030666 Lise D Delong Clinic/Center 1678 Fry Rd Ste C, Greenwood, IN 46142-1176 2011-01-17
1881826584 Z and Z Inc. LLC Clinic/Center 13295 Illinois St Ste 106, Carmel, IN 46032-3020 2009-08-13
1467924324 Journeys Behavior Learning Center LLC Clinic/Center 1316 W Dragoon Trl, Mishawaka, IN 46544-4713 2018-12-17
1659842490 South Bend Behavioral Health LLC Clinic/Center 701 N Niles Ave, South Bend, IN 46617-1923 2018-12-05
1669967428 Embracing Abilities Inc Clinic/Center 1182 Scarlet Quarry Cir, Avon, IN 46123-9372 2018-06-25
1053722637 Cornerstone Support Services, LLC Clinic/Center 6214 Morenci Trl, Suite 100, Indianapolis, IN 46268-2574 2014-05-16
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Competitor

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City FORT WAYNE
Zip Code 46804

Improve Information

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Dataset Information

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.

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