NPIMap

Organization Active NPI

Tampa Bay Pediatric Therapy LLC

  • Pediatric Occupational Therapist
  • Oldsmar, FL
National Provider Identifier
1245633544
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT14203 Issued in FL
Legal business name
TAMPA BAY PEDIATRIC THERAPY LLC
Practice address
1807 Peppertree Dr
Oldsmar, FL 34677-2741
Phone
(304) 374-1252
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Stephanie Kolanko, OTR/LNPI 1689858086
Title
Owner/Sole MBR
Phone
(304) 374-1252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT14203 FL Primary

Addresses

Primary practice location

1807 Peppertree Dr
Oldsmar, FL 34677-2741

Mailing address

16025 Muirfield Dr
Odessa, FL 33556-2861

National Provider Directory

National Provider Directory

Locations

1807 Peppertree Dr
Oldsmar, FL 34677
Phone (304) 374-1252

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": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1245633544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16025 MUIRFIELD DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 PEPPERTREE DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772741",
            "telephone_number": "304-374-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "KOLANKO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/SOLE MBR",
        "authorized_official_telephone_number": "304-374-1252",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT14203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.