NPIMap

Organization Active NPI

Pediatric Therapy Services of Greater Orlando, LLC

  • Occupational Therapist
  • Winter Garden, FL
National Provider Identifier
1013926187
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-499 Issued in FL
Legal business name
PEDIATRIC THERAPY SERVICES OF GREATER ORLANDO, LLC
Practice address
301 S West Crown Pointe Rd
Suite 150
Winter Garden, FL 34787
Phone
(407) 905-8905
Fax
(407) 905-8958
NPI assigned
Aug 6, 2006
Last updated
Jun 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tonya Lorene Carson, MS, CCC-SLPNPI 1679619563
Title
Owner
Phone
(407) 491-3825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19866 FL
Physical Therapist 225100000X PT7810 FL
Occupational Therapist 225X00000X OT-499 FL Primary
Speech-Language Pathologist 235Z00000X SA7850 FL
Speech-Language Pathologist 235Z00000X SA6784 FL

Addresses

Primary practice location

301 S West Crown Pointe Rd
Suite 150
Winter Garden, FL 34787

Mailing address

5036 Dr. Philips Blvd.
Suite 364
Orlando, FL 32819-3319
Phone (407) 491-3825

Other identifiers 3

IdentifierTypeStateIssuer
120013700MedicaidFL
890158900MedicaidFL
812291100MedicaidFL

National Provider Directory

National Provider Directory

Locations

301 S West Crown Point Rd
Ste 150
Winter Garden, FL 34787
Phone (407) 491-3825

886 S Dillard St
Winter Garden, FL 34787
Phone (407) 399-7233

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1013926187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 DR. PHILIPS BLVD.",
            "address_2": "SUITE 364",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193319",
            "telephone_number": "407-491-3825",
            "fax_number": "407-905-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WEST CROWN POINTE RD",
            "address_2": "SUITE 150",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-905-8905",
            "fax_number": "407-905-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES OF GREATER ORLANDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LORENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-491-3825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19866",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7810",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT-499",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7850",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120013700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890158900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812291100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.