Thepediatricpt PLLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

THEPEDIATRICPT PLLC

Practice address

8949 W Palo Verde Dr
Glendale, AZ 85305-2008

Phone

(321) 302-2274

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Kayleen Laurendi, DPTNPI 1750822011

Title

Owner

Phone

(321) 302-2274

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kayleen Laurendi

  • Student in an Organized Health Care Education/Training Program
  • Melbourne, FL
  • NPI 1750822011
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1619750825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8949 W PALO VERDE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052008",
            "telephone_number": "321-302-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8949 W PALO VERDE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052008",
            "telephone_number": "321-302-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEPEDIATRICPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "LAURENDI",
        "authorized_official_first_name": "KAYLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-302-2274",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatric Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.