Organization Active NPI

Peditherapy Inc

  • Pediatric Occupational Therapist
  • Coral Springs, FL
National Provider Identifier
1164564241
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT1331 Issued in FL
Legal business name
PEDITHERAPY INC
Practice address
4155 NW 64TH Ave
Coral Springs, FL 33067-3043
Phone
(954) 385-3456
Fax
(954) 616-1315
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. M. Cristina Godin, OTR
Title
Owner
Phone
(954) 385-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X OT1331 FL Primary

Addresses

Primary practice location

4155 NW 64TH Ave
Coral Springs, FL 33067-3043

Mailing address

1605 Town Center Blvd Suite a
Weston, FL 33326-3637
Phone (954) 385-3456

National Provider Directory

National Provider Directory

Locations

1605 Town Center Blvd
Ste A
Weston, FL 33326

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164564241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 TOWN CENTER BLVD SUITE A",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263637",
            "telephone_number": "954-385-3456",
            "fax_number": "954-626-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 NW 64TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330673043",
            "telephone_number": "954-385-3456",
            "fax_number": "954-616-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDITHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODIN",
        "authorized_official_first_name": "M. CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-385-3456",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.