NPIMap

Organization Active NPI

Infant and Pediatric Home Therapy, Inc.

  • Physical Therapist
  • Dania Beach, FL
National Provider Identifier
1386701332
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INFANT AND PEDIATRIC HOME THERAPY, INC.
Practice address
550 SE 4TH CT
Dania Beach, FL 33004-4738
Phone
(954) 925-7034
Fax
(954) 925-7034
NPI assigned
Jan 2, 2007
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Mrs. Michelle Joanne Parente, P.T.NPI 1437216454
Title
Owner, Pediatric P.T.
Phone
(954) 925-7034

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
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

550 SE 4TH CT
Dania Beach, FL 33004-4738

Mailing address

550 SE 4TH CT
Dania Beach, FL 33004-4738
Phone (954) 925-7034

Other identifiers 1

IdentifierTypeStateIssuer
810412302MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Infant and Pediatric Home Therapy2 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.

Practitioners & affiliated clinicians

Practitioners 6

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1386701332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SE 4TH CT",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330044738",
            "telephone_number": "954-925-7034",
            "fax_number": "954-925-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SE 4TH CT",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "330044738",
            "telephone_number": "954-925-7034",
            "fax_number": "954-925-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFANT AND PEDIATRIC HOME THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "PARENTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER, PEDIATRIC  P.T.",
        "authorized_official_telephone_number": "954-925-7034",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "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": "810412302",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dania Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.