Thera-Care Pediatric Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THERA-CARE PEDIATRIC CENTER, LLC

Practice address

11724 Cranbourne Dr
Orlando, FL 32837-5756

Phone

(407) 729-8498

NPI assigned

Feb 13, 2025

Organization subpart

No

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

Authorized official

Name

Miriam Medina, MS/SLPNPI 1235560558

Title

Clinical Director

Phone

(407) 729-8498

Specialties & licenses 2

Addresses

Other names 1

• Thera-Care Pediatric Center, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Medina, MS/SLP

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1235560558
  NPD Authorized official

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1497550602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11724 CRANBOURNE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375756",
            "telephone_number": "407-729-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11724 CRANBOURNE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375756",
            "telephone_number": "407-729-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-CARE PEDIATRIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-729-8498",
        "authorized_official_credential": "MS/SLP"
    },
    "taxonomies": [
        {
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thera-Care Pediatric Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.