Path to Progressive Health Care

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PATH TO PROGRESSIVE HEALTH CARE

Practice address

4174 Corsair Ave
Kissimmee, FL 34741-2949

Phone

(321) 805-0282

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Lewdy Enid MatiasNPI 1558799478

Title

President

Phone

(321) 805-0282

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lewdy Matias

  • Developmental Disabilities Clinic/Center
  • Saint Cloud, FL
  • NPI 1558799478
  NPD (past) Authorized official

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356867717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700584",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347700584",
            "telephone_number": "321-805-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 CORSAIR AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412949",
            "telephone_number": "321-805-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO PROGRESSIVE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATIAS",
        "authorized_official_first_name": "LEWDY",
        "authorized_official_middle_name": "ENID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-805-0282"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13568687717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaishali Patel
• Viral Patel, M.D.
• Path Forward Counseling
• Path Medical, LLC (Path Medical - Kissimmee)
• Path Therapy Center Corp
• Akash Pathak
• Seema Pathak
• Patient First Health System, LLC
• Patient Management Consulting LLC
• Patient Medical Center of Florida Inc

• Developmental Disabilities Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.