Pediacare Therapy, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT13680 Issued in FL

Legal business name

PEDIACARE THERAPY, INC.

Practice address

4721 67TH Ave N
Pinellas Park, FL 33781-5264

Phone

(727) 253-3345

Fax

(727) 753-0277

NPI assigned

Jun 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tasvira Patel, OTR/L

Title

President

Phone

(727) 253-3345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1114248507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 67TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815264",
            "telephone_number": "727-253-3345",
            "fax_number": "727-753-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 67TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337815264",
            "telephone_number": "727-253-3345",
            "fax_number": "727-753-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIACARE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-20",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TASVIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-253-3345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT13680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.