Active NPI
Next Step Child Services
- Speech-Language Pathologist
- Fort Myers, FL
National Provider Identifier
1104642628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- NEXT STEP CHILD SERVICES
- Practice address
- 8359 Beacon Blvd Ste 512
Fort Myers, FL 33907-3066 - Phone
- (786) 763-5493
- NPI assigned
- Nov 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pavel Manzanares Angulo
- Title
- Owner
- Phone
- (786) 830-9519
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Art Therapist | 221700000X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
8359 Beacon Blvd Ste 512
Fort Myers, FL 33907-3066
Mailing address
8359 Beacon Blvd Ste 512
Fort Myers, FL 33907-3066
Phone (786) 763-5493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8359 Beacon Blvd
Ste 512
Fort Myers, FL 33907
Phone (786) 763-5493
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777161600000",
"number": "1104642628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8359 BEACON BLVD STE 512",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073066",
"telephone_number": "786-763-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 BEACON BLVD STE 512",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073066",
"telephone_number": "786-763-5493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXT STEP CHILD SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-30",
"last_updated": "2026-04-26",
"certification_date": "2026-04-26",
"status": "A",
"authorized_official_last_name": "MANZANARES ANGULO",
"authorized_official_first_name": "PAVEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-830-9519"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.