NPIMap

Organization Active NPI

Pediatric Therapy Group

  • Supports Brokerage Agency
  • Bradenton, FL
National Provider Identifier
1306132964
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
License
T13711 Issued in FL
Legal business name
PEDIATRIC THERAPY GROUP
Practice address
4440B 26TH St W
Bradenton, FL 34207-1201
Phone
(941) 752-0408
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Ms. Mary A Kester, OT/L
Title
Staff OT
Phone
(941) 447-4707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X T13711 FL Primary

Addresses

Primary practice location

4440B 26TH St W
Bradenton, FL 34207-1201

Mailing address

4440B 26TH St W
Bradenton, FL 34207-1201
Phone (941) 752-0408

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Therapy Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1306132964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440B 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071201",
            "telephone_number": "941-752-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440B 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071201",
            "telephone_number": "941-752-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "KESTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "STAFF OT",
        "authorized_official_telephone_number": "941-447-4707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OT/L"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "FL",
            "license": "T13711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.