Resa Pediatric Therapy, PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

RESA PEDIATRIC THERAPY, PLLC

Doing business as

Resa Pediatric Therapy, PLLC

Practice address

1904 Levine LN
Clearwater, FL 33760-1611

Phone

(757) 633-8940

NPI assigned

Nov 16, 2020

Organization subpart

No

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

Authorized official

Name

Kathryn Hamlin-Pacheco, OTR/L

Title

Owner

Phone

(757) 633-8940

Specialties & licenses 1

Addresses

Other names 1

• Resa Pediatric Therapy, PLLC Doing business as

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1376145284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 LEVINE LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601611",
            "telephone_number": "757-633-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 LEVINE LN",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601611",
            "telephone_number": "757-633-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESA PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "HAMLIN-PACHECO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-633-8940",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resa Pediatric Therapy, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Occupational Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.