Organization Active NPI

Dedicated Pediatric Therapy Inc

  • Occupational Therapist
  • Plantation, FL
National Provider Identifier
1568927747
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
DEDICATED PEDIATRIC THERAPY INC
Practice address
261 N University Dr Ste 500-26
Plantation, FL 33324-2002
Phone
(207) 592-6617
Fax
(754) 300-1738
NPI assigned
Feb 1, 2019
Last updated
Aug 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Monica Belanger, OTR/LNPI 1720459365
Title
Owner/Operator
Phone
(207) 592-6617

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

261 N University Dr Ste 500-26
Plantation, FL 33324-2002

Mailing address

261 N University Dr Ste 500-26
Plantation, FL 33324-2002
Phone (207) 592-6617

Other identifiers 2

IdentifierTypeStateIssuer
104007100MedicaidFL
1720459365MedicaidFL

National Provider Directory

National Provider Directory

Locations

261 N University Dr
Ste 50026
Plantation, FL 33324
Phone (207) 592-6617

Practitioners & affiliated clinicians

Practitioners 1

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": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1568927747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N UNIVERSITY DR STE 500-26",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242002",
            "telephone_number": "207-592-6617",
            "fax_number": "754-300-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N UNIVERSITY DR STE 500-26",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242002",
            "telephone_number": "207-592-6617",
            "fax_number": "754-300-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED PEDIATRIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "207-592-6617",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104007100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720459365",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.