Power Up Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

POWER UP PEDIATRIC THERAPY LLC

Practice address

7050 Isla Vista Dr
West Palm Beach, FL 33412-3065

Phone

(443) 695-6604

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Charles RobertsonNPI 1477977056

Title

Occupational Therapist (Owner)

Phone

(443) 695-6604

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Robertson, MS

  • Occupational Therapist
  • Tequesta, FL
  • NPI 1477977056
  NPD Authorized official

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1023689106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 ISLA VISTA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334123065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 ISLA VISTA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334123065",
            "telephone_number": "443-695-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER UP PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST (OWNER)",
        "authorized_official_telephone_number": "443-695-6604"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyne Potgieter, M.S.
• Lynn Erica Potter
• Jennyfer Poveda, PA-C
• Lance Thomas Powell, ARNP
• Ledlo Duany Powell, RPH
• Robyn Katie Power
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Yuliet Pozo Martinez, ARNP
• Lilianny Pozo Perez
• Minita C Prabhakar, DPT, MTC, CLT

• Pediatric Occupational Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.