NPIMap

Organization Active NPI

Progressive Pediatric Therapy Services

  • Early Intervention Provider Agency
  • Tallahassee, FL
National Provider Identifier
1619218054
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
12786 Issued in FL
Legal business name
PROGRESSIVE PEDIATRIC THERAPY SERVICES
Practice address
2005 Sandcastle Dr
Tallahassee, FL 32308-4864
Phone
(904) 226-8890
NPI assigned
Mar 11, 2013
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PROGRESSIVE PEDIATRIC DEVELOPMENTAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mrs. Tammy McKenzie, OTR/LNPI 1194719427
Title
Executive Director
Phone
(850) 524-2048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 12786 FL Primary

Addresses

Primary practice location

2005 Sandcastle Dr
Tallahassee, FL 32308-4864

Mailing address

2005 Sandcastle Dr
Tallahassee, FL 32308-4864
Phone (904) 226-8890

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherFLSOCIAL SECURITY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1619218054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 SANDCASTLE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084864",
            "telephone_number": "904-226-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 SANDCASTLE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084864",
            "telephone_number": "904-226-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE PEDIATRIC DEVELOPMENTAL CENTER",
        "enumeration_date": "2013-03-11",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-524-2048",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": "12786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.