NPIMap

Organization Active NPI

Achieve Pediatric Therapy, Inc

Doing business as Achieve Pediatric Therapy-ABA

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1174280325
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ACHIEVE PEDIATRIC THERAPY, INC
Doing business as
Achieve Pediatric Therapy-ABA
Practice address
11602 Lake Underhill Road,
Suite 129
Orlando, FL 32825
Phone
(407) 277-5400
Fax
(321) 281-4942
NPI assigned
Nov 23, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ACHIEVE PEDIATRIC THERAPY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Heather B Gray, O.T.NPI 1912943226
Title
Owner/Occupational Therapist
Phone
(407) 277-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Assistant Behavior Analyst 106E00000X NU
Behavior Technician 106S00000X NU

Addresses

Primary practice location

11602 Lake Underhill Road,
Suite 129
Orlando, FL 32825

Mailing address

11602 Lake Underhill Road,
Suite 129
Orlando, FL 32825
Phone (407) 277-5400

Other identifiers 1

IdentifierTypeStateIssuer
024402800MedicaidFL

Other names 1

  • Achieve Pediatric Therapy-ABA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Achieve Pediatric Therapy4 organizations share this tax ID, including this one
Part of
Achieve Pediatric Therapy

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11602 Lake Underhill Rd
Ste 129
Orlando, FL 32825
Phone (407) 277-5400

Practitioners & affiliated clinicians

Practitioners 5

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": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1174280325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL ROAD,",
            "address_2": "SUITE 129",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32825",
            "telephone_number": "407-277-5400",
            "fax_number": "321-281-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 LAKE UNDERHILL ROAD,",
            "address_2": "SUITE 129",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32825",
            "telephone_number": "407-277-5400",
            "fax_number": "321-281-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PEDIATRIC THERAPY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACHIEVE PEDIATRIC THERAPY, INC",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "407-277-5400",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024402800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Pediatric Therapy-ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.