PEDIATRIC POTENTIALS, INC. (NPI# 1982624771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982624771 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC POTENTIALS, INC. |
| Practice Address |
295 Waymont Ct Lake Mary FL 32746-6744 |
| Practice Telephone | 4073223962 |
| Practice Fax Number | 4073231614 |
| Mailing Telephone | 4073223962 |
| Mailing Fax Number | 4073231614 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-10-22 |
| Authorized Official Name | MR. BRIAN ARNONE (PRESIDENT) |
| Authorized Official Telephone | 4073223962 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 888328900 | 05 |
| Street Address |
295 WAYMONT CT |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-6744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497192165 | Jessica Ashley Brown | Speech-Language Pathologist | 295 Waymont Ct, Lake Mary, FL 32746-6744 | 2013-06-04 |
| 1396885232 | Kelli Arnone | Occupational Therapist | 295 Waymont Ct, Lake Mary, FL 32746-6744 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033769310 | Kayla Marie Tornari | Physical Medicine & Rehabilitation | 6002 Nw 74th Ter, Parkland, FL 33067-1227 | 2019-09-18 |
| 1750840393 | Because You Can, LLC | Physical Medicine & Rehabilitation | 2901 1st Ave N Ste 101, St Petersburg, FL 33713-8640 | 2019-03-13 |
| 1780027870 | South Broward Hospital District | Physical Medicine & Rehabilitation | 4651 Sheridan Street, Suite 150, Hollywood, FL 33024 | 2013-04-09 |
| 1497884399 | First Step Therapeutics | Physical Medicine & Rehabilitation | 1104 Beville Road, Suite J, Daytona Beach, FL 32114-5765 | 2007-03-05 |
| 1568073823 | Wesley Roland Innocent Jr. | Physical Medicine & Rehabilitation | 2685 Executive Park Dr, Weston, FL 33331-3651 | 2020-08-11 |
| 1851867204 | Hop, Skip and A Jump Pediatric Physical Therapy | Physical Medicine & Rehabilitation | 30201 Sw 172nd Ave, Homestead, FL 33030-4820 | 2018-10-23 |
| 1447761473 | Catherine Wright | Physical Medicine & Rehabilitation | 10250 Nw 53rd St, Sunrise, FL 33351-8023 | 2017-10-17 |
| 1841483393 | Margarita Correa LLC | Physical Medicine & Rehabilitation | 720 Almond St, Clermont, FL 34711-3124 | 2007-08-18 |
| 1356407068 | Ewa B Brandys | Physical Medicine & Rehabilitation | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2006-12-28 |
| 1154369221 | James Lawrence Chinarian | Physical Medicine & Rehabilitation | 880 6th St S, Ste 120, St Petersburg, FL 33701-4827 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
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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.