Active NPI
Imagination Pediatrics Therapy Center L.L.L.P.
- Medically Fragile Infants and Children Day Care
- Miami, FL
National Provider Identifier
1194533661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medically Fragile Infants and Children Day Care
- Legal business name
- IMAGINATION PEDIATRICS THERAPY CENTER L.L.L.P.
- Practice address
- 8896 SW 129TH Ter
Miami, FL 33176-5945 - Phone
- (786) 873-4395
- NPI assigned
- Dec 30, 2024
- 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
- Laura Shelley Chacon
- Title
- General Partner
- Phone
- (786) 873-4395
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Medically Fragile Infants and Children Day Care | 261QM3000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
8896 SW 129TH Ter
Miami, FL 33176-5945
Mailing address
8896 SW 129TH Ter
Miami, FL 33176-5945
Phone (786) 873-4395
National Provider Directory
National Provider DirectoryLocations
8896 SW 129th Ter
Miami, FL 33176
Phone (786) 873-4395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1194533661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8896 SW 129TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331765945",
"telephone_number": "786-873-4395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8896 SW 129TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331765945",
"telephone_number": "786-873-4395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMAGINATION PEDIATRICS THERAPY CENTER L.L.L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "CHACON",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "SHELLEY",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "786-873-4395"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.