Active NPI
Peditherapy Inc
- Pediatric Occupational Therapist
- Coral Springs, FL
National Provider Identifier
1164564241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT1331
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 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 DirectoryLocations
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.