NPIMap

Organization Active NPI

Home Sweet Home Pediatric Therapy, LLC

  • Physical Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1467920249
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HOME SWEET HOME PEDIATRIC THERAPY, LLC
Practice address
11246 SW Olmstead Dr
Port Saint Lucie, FL 34987-1945
Phone
(954) 579-5619
Fax
(772) 673-0523
NPI assigned
Nov 9, 2018
Last updated
Nov 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Angela Suee Lee, MS, PTNPI 1841592136
Title
Physical Therapist/ Owner
Phone
(954) 579-5619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Pediatric Physical Therapist 2251P0200X NU
Home Health Agency 251E00000X NU

Addresses

Primary practice location

11246 SW Olmstead Dr
Port Saint Lucie, FL 34987-1945

Mailing address

11246 SW Olmstead Dr
Port Saint Lucie, FL 34987-1945
Phone (954) 579-5619

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1467920249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 SW OLMSTEAD DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871945",
            "telephone_number": "954-579-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11246 SW OLMSTEAD DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871945",
            "telephone_number": "954-579-5619",
            "fax_number": "772-673-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SWEET HOME PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "SUEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "954-579-5619",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.