NPIMap

Organization Active NPI

CMD Pediatric Therapy Services LLC

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1114257557
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19506 Issued in FL
Legal business name
CMD PEDIATRIC THERAPY SERVICES LLC
Practice address
19376 SW 65TH St
Suite 102
Fort Lauderdale, FL 33332-3362
Phone
(954) 252-2705
Fax
(954) 252-0524
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Dr. Charina M Desaulniers, DPTNPI 1003138421
Title
President
Phone
(954) 252-2705

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT19506 FL Primary

Addresses

Primary practice location

19376 SW 65TH St
Suite 102
Fort Lauderdale, FL 33332-3362

Mailing address

19376 SW 65TH St
Suite 102
Fort Lauderdale, FL 33332-3362

National Provider Directory

National Provider Directory

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": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1114257557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19376 SW 65TH ST",
            "address_2": "SUITE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19376 SW 65TH ST",
            "address_2": "SUITE 102",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333323362",
            "telephone_number": "954-252-2705",
            "fax_number": "954-252-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMD PEDIATRIC THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "DESAULNIERS",
        "authorized_official_first_name": "CHARINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-252-2705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.