NPIMap

Organization Active NPI

Pediatric Therapy Experts, LLC

  • Hearing and Speech Clinic/Center
  • Belle Isle, FL
National Provider Identifier
1568729978
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SA5261 Issued in FL
Legal business name
PEDIATRIC THERAPY EXPERTS, LLC
Practice address
2509 Nela Ave
Belle Isle, FL 32809-6170
Phone
(407) 451-9871
Fax
(407) 704-3955
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Ms. Lori K Mitnik, MA, CCC-SLP
Title
President/Owner
Phone
(407) 451-9871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SA5261 FL Primary

Addresses

Primary practice location

2509 Nela Ave
Belle Isle, FL 32809-6170

Mailing address

2509 Nela Ave
Belle Isle, FL 32809-6170
Phone (407) 451-9871

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1568729978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 NELA AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328096170",
            "telephone_number": "407-451-9871",
            "fax_number": "407-704-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 NELA AVE",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328096170",
            "telephone_number": "407-451-9871",
            "fax_number": "407-704-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY EXPERTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "MITNIK",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "407-451-9871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "SA5261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Isle, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.