NPIMap

Organization Active NPI

Pediatric Adventure Therapy

  • Physical Therapist
  • Ocoee, FL
National Provider Identifier
1528829215
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PEDIATRIC ADVENTURE THERAPY
Practice address
2716 Rew Cir Ste 102
Ocoee, FL 34761-4201
Phone
(407) 614-3033
Fax
(321) 710-7030
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Brandon Felipe Tejeda Garzon, DPTNPI 1659873883
Title
Physical Therapist - Owner
Phone
(407) 614-3033

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

2716 Rew Cir Ste 102
Ocoee, FL 34761-4201

Mailing address

2716 Rew Cir Ste 102
Ocoee, FL 34761-4201
Phone (407) 614-3033

Other identifiers 1

IdentifierTypeStateIssuer
1270096400MedicaidFL

National Provider Directory

National Provider Directory

Locations

2716 Rew Cir
Ste 102
Ocoee, FL 34761

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1528829215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 REW CIR STE 102",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614201",
            "telephone_number": "407-614-3033",
            "fax_number": "321-710-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 REW CIR STE 102",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614201",
            "telephone_number": "407-614-3033",
            "fax_number": "321-710-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ADVENTURE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "TEJEDA GARZON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "FELIPE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST - OWNER",
        "authorized_official_telephone_number": "407-614-3033",
        "authorized_official_credential": "DPT"
    },
    "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": "1270096400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.