Organization Active NPI

HT 2.0 Pediatric Therapy PLLC

  • Speech-Language Pathologist
  • Melbourne, FL
National Provider Identifier
1164231718
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HT 2.0 PEDIATRIC THERAPY PLLC
Practice address
3270 Suntree Blvd Ste 1117E
Melbourne, FL 32940-7556
Phone
(989) 450-6441
NPI assigned
Jan 7, 2025
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Nickolas Hetherington, MOT, OTR/LNPI 1467804278
Title
Manager
Phone
(989) 450-6441

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

3270 Suntree Blvd Ste 1117E
Melbourne, FL 32940-7556

Mailing address

1343 Gleneagles Way
Rockledge, FL 32955-2522
Phone (989) 450-6441

National Provider Directory

National Provider Directory

Locations

3270 Suntree Blvd
Ste 1117E
Melbourne, FL 32940
Phone (989) 450-6441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1164231718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 GLENEAGLES WAY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552522",
            "telephone_number": "989-450-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD STE 1117E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407556",
            "telephone_number": "989-450-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HT 2.0 PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "HETHERINGTON",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "989-450-6441",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.