Individual provider Active NPI

Arelis Negron

  • Developmental Therapist
  • Kissimmee, FL
National Provider Identifier
1487145249
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
2130 Michigan Ave # 314
Kissimmee, FL 34744-2927
Phone
(407) 641-0808
Fax
(407) 812-4358
NPI assigned
May 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

2130 Michigan Ave # 314
Kissimmee, FL 34744-2927

Mailing address

4408 Blue Mesa CT
Clermont, FL 34714-6510

Other practice location 1

12901 Broleman Rd
Orlando, FL 32832-6107
Phone (407) 641-0808

Other identifiers 1

IdentifierTypeStateIssuer
101966800MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.floridapediatrictherapy.com Direct
Other URL www.floridapediatrictherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pediatric Therapy, LLC Developmental Therapist CurrentSince Apr 17, 2022 Accepting new patients
Florida Pediatric Therapy, LLC Developmental Therapist PastSince Apr 17, 2022 Accepting new patients

Locations

2130 Michigan Ave
Kissimmee, FL 34744
Phone (407) 287-6735

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1487145249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 BLUE MESA CT",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MICHIGAN AVE # 314",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442927",
            "telephone_number": "407-641-0808",
            "fax_number": "407-812-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12901 Broleman Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326107",
            "country_code": "US",
            "telephone_number": "407-641-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "ARELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101966800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.floridapediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure web form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12901 Broleman Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328326107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.floridapediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "secure web form",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12901 Broleman Rd",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328326107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.