Organization Active NPI

Imagination Pediatrics Therapy Center L.L.L.P.

  • Medically Fragile Infants and Children Day Care
  • Miami, FL
National Provider Identifier
1194533661
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
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

Updated by the provider on Dec 30, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.