Amp Pediatric Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AMP PEDIATRIC THERAPY LLC

Practice address

6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593

Phone

(407) 970-0824

Fax

(321) 235-5506

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Alexandra Marie Perez, PT

Title

Owner

Phone

(407) 970-0824

Specialties & licenses 6

Addresses

Other identifiers 1

Tax ID family

Amp Pediatric Therapy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Amp Pediatric Therapy LLC

  • Early Intervention Provider Agency
  • Orlando, FL
  • NPI 1760087126
  NPD tax ID
• Amp Pediatric Therapy LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1982209243
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Amp Pediatric Therapy LLC

  • Early Intervention Provider Agency
  • Orlando, FL
  • NPI 1760087126
  NPPES parent name
• Amp Pediatric Therapy LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1982209243
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Susanne Briddell, OTR/L

  • Occupational Therapist
  • Orlando, FL
  • NPI 1043366206
  NPD (past)
• Leidy J Cordoba, COTA/L

  • Occupational Therapy Assistant
  • Orlando, FL
  • NPI 1235599705
  NPD (past)
• Sean O'Neill

  • Physical Therapy Assistant
  • Orlando, FL
  • NPI 1518312552
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1326457938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277593",
            "telephone_number": "407-970-0824",
            "fax_number": "321-235-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277593",
            "telephone_number": "407-970-0824",
            "fax_number": "321-235-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMP PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-970-0824",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887718100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amor Therapy Services Inc
• Leidiana Amor
• Amore Enchanted Homecare Agency LLC
• Amore Senior Day Care
• Amp Oral and Maxillofacial Surgery, PA
• Amp Pediatric Therapy LLC
• Amp Pediatric Therapy LLC
• Victoria Amparo, LMHC
• Amponsah Business and Medical Group, Inc
• Kwabena Amponsah, PA-C

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.