PEDIATRIC THERAPY SERVICES, INC. (NPI# 1871769349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871769349 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY SERVICES, INC. |
| Practice Address |
206 Ridgewood Ave Brandon FL 33510 |
| Mailing Address |
206 Ridgewood Ave Brandon FL 33510-4617 |
| Practice Telephone | 8136621060 |
| Practice Fax Number | 8136620530 |
| Mailing Telephone | 8136621060 |
| Mailing Fax Number | 8136620530 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | GRAHAM KILBURN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8136621060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
PT2549 | FL | Suppliers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT5990 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT1478 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SA7398 | FL | Speech, Language and Hearing Service Providers |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024393800 | 05 | |
| FL | 8803579-01 | 05 | |
| FL | 8803579-04 | 05 | |
| FL | CIGNA | 8810363001 | 01 |
| FL | AETNA | 664175 | 01 |
| FL | CITRUS COMMERCIAL/HMO | 13424302 | 01 |
| FL | UNITED HEALTHCARE | 6406221 | 01 |
| FL | BLUE CROSS BLUE SHIELD | Y906F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316073422 | Pediatric Therapy Services, Inc. | Physical Therapist | 2712 Kivett Dr, Greensboro, NC 27407-9744 | 2007-02-25 |
| 1609828375 | Pediatric Therapy Services, Inc. | Pediatrics | 5431 Main Street, Kansas City, MO 64112-2823 | 2006-05-17 |
| Street Address |
206 RIDGEWOOD AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487768669 | Cindy R Lano | Physical Therapist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2006-08-18 |
| 1578194320 | Abigail Maria Zorrilla | Occupational Therapist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2020-01-30 |
| 1205486552 | Erin Tufano | Speech-Language Pathologist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2019-09-18 |
| 1720633993 | Caroline Evers | Physical Therapist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2019-08-05 |
| 1568922383 | Rebecca Wallington | Speech-Language Pathologist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2019-03-20 |
| 1689133381 | Chelsey Elizabeth Lindhorst | Speech-Language Pathologist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2019-03-13 |
| 1245704121 | Claire Clausen | Occupational Therapist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2019-01-14 |
| 1336668813 | Marlee White | Speech-Language Pathologist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2017-09-15 |
| 1124545892 | Nadia Gaddis | Physical Therapist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2017-08-24 |
| 1497296867 | Alexsa Schrader | Speech-Language Pathologist | 206 Ridgewood Ave, Brandon, FL 33510-4617 | 2017-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003392390 | Verimed Health Group Brandon, LLC | Clinic/Center | 500 Vonderburg Dr Ste 310, Brandon, FL 33511-5978 | 2018-07-19 |
| 1225580558 | Preferred Injury Physicians of Brandon Inc. | Clinic/Center | 1355 Oakfield Drive, Brandon, FL 33511 | 2016-11-03 |
| 1699710467 | Jerry A Wishik, M.d., P.a. | Clinic/Center | 620 Vonderburg Dr, Brandon, FL 33511-5971 | 2006-06-17 |
| 1710460175 | Florida Medical Clinic LLC | Clinic/Center | 2020 Town Center Blvd Ste D, Brandon, FL 33511-2906 | 2018-09-12 |
| 1124500335 | Tampa General Medical Group Inc | Clinic/Center | 799 W Lumsden Rd, Brandon, FL 33511-6261 | 2018-09-04 |
| 1831683036 | Olive Verde Company LLC | Clinic/Center | 859 W Lumsden Rd, Brandon, FL 33511-6280 | 2018-06-20 |
| 1487155537 | Dhb Therapy, Corp | Clinic/Center | 1604 Harvard Woods Dr Apt 2414, Brandon, FL 33511-2080 | 2018-02-23 |
| 1265972103 | Healthy Bodies Medical Center | Clinic/Center | 3415 Brook Crossing Dr, Brandon, FL 33511-8181 | 2017-02-25 |
| 1386007474 | Florida Medical Clinic LLC | Clinic/Center | 2020 Town Center Blvd, Suite B, Brandon, FL 33511-2906 | 2016-04-05 |
| 1821477167 | Biogenics, LLC | Clinic/Center | 307 Chartrese Dr, Brandon, MS 39047-8779 | 2015-05-19 |
| Find all providers in BRANDON | ||||
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| 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.