NPIMap

Organization Active NPI

Pediatrics Plus

  • Pediatric Occupational Therapist
  • Panama City, FL
National Provider Identifier
1679866297
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT9084 Issued in FL
Legal business name
PEDIATRICS PLUS
Practice address
927 Grace Ave
Panama City, FL 32401-2521
Phone
(850) 769-5371
Fax
(850) 872-9558
NPI assigned
May 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Paula Nelson
Title
Owner President
Phone
(850) 769-5371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT9084 FL Primary

Addresses

Primary practice location

927 Grace Ave
Panama City, FL 32401-2521

Mailing address

927 Grace Ave
Panama City, FL 32401-2521
Phone (850) 769-5371

Other identifiers 1

IdentifierTypeStateIssuer
0010850800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Pediatrics Plus6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1679866297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 GRACE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012521",
            "telephone_number": "850-769-5371",
            "fax_number": "850-872-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 GRACE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012521",
            "telephone_number": "850-769-5371",
            "fax_number": "850-872-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "850-769-5371"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT9084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010850800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.