Organization Active NPI

Pro Networking Plus, Inc.

Doing business as Millennium Therapeutic & Pediatric Wellness Center

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1336179241
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 2005 Issued in FL
Legal business name
PRO NETWORKING PLUS, INC.
Doing business as
Millennium Therapeutic & Pediatric Wellness Center
Practice address
11845 SW 216 Street
Miami, FL 33170-2938
Phone
(786) 293-3933
Fax
(305) 378-0078
NPI assigned
Jul 4, 2006
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Mr. Christopher Moody, O.T.R / LNPI 1780704288
Title
President / Owner
Phone
(786) 293-3933

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 2005 FL Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

11845 SW 216 Street
Miami, FL 33170-2938

Mailing address

11845 SW 216 Street
Miami, FL 33170-2938
Phone (786) 293-3933

Other identifiers 1

IdentifierTypeStateIssuer
887107800MedicaidFL

Other names 1

  • Millennium Therapeutic & Pediatric Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

11845 SW 216th St
Miami, FL 33170
Phone (305) 783-9247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1336179241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 SW 216 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702938",
            "telephone_number": "786-293-3933",
            "fax_number": "305-378-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 SW 216 STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702938",
            "telephone_number": "786-293-3933",
            "fax_number": "305-378-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO NETWORKING PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-02-07",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "786-293-3933",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.T.R / L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 2005",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887107800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millennium Therapeutic & Pediatric Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 7, 2022; 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.