NPIMap

Organization Active NPI

Easterseals Florida, Inc.

  • Early Intervention Provider Agency
  • Palm Coast, FL
National Provider Identifier
1104768530
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EASTERSEALS FLORIDA, INC.
Practice address
160 Cypress Point Pkwy Ste B205
Palm Coast, FL 32164-8437
Phone
(386) 873-0365
Fax
(386) 868-1929
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Rikesha Blake
Title
Cfo
Phone
(407) 287-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

160 Cypress Point Pkwy Ste B205
Palm Coast, FL 32164-8437

Mailing address

125 N Ridgewood Ave Ste 300
Daytona Beach, FL 32114-3284
Phone (386) 944-7802

National Provider Directory

National Provider Directory
Tax ID family
Easterseals Florida Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

160 Cypress Point Pkwy
Ste B205
Palm Coast, FL 32164
Phone (386) 873-0365

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1104768530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N RIDGEWOOD AVE STE 300",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143284",
            "telephone_number": "386-944-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CYPRESS POINT PKWY STE B205",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648437",
            "telephone_number": "386-873-0365",
            "fax_number": "386-868-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERSEALS FLORIDA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "RIKESHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-287-5185"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.