Lakeland's Children Therapy Center, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

LAKELAND'S CHILDREN THERAPY CENTER, LLC

Practice address

215 Imperial Blvd Ste B2
Lakeland, FL 33803-4689

Phone

(786) 602-0904

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Luis Yance

Title

Owner

Phone

(786) 602-0904

Specialties & licenses 1

Addresses

Tax ID family

Lakeland's Children Therapy Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lakeland's Children Therapy Center, LLC

  • Behavior Analyst
  • Bartow, FL
  • NPI 1265222624
  NPD tax ID

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1699535492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 IMPERIAL BLVD STE B2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 IMPERIAL BLVD STE B2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034689",
            "telephone_number": "786-602-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND'S CHILDREN THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "YANCE",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-602-0904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Therapy Providers, Inc.
• Lakeland Urology PA
• Lakeland Volunteers in Medicine
• Lakeland Volunteers in Medicine
• Lakeland Women's Health Center, Inc.
• Lakeside Medical Centers, Inc.
• Lakeside of Lakeland Inc
• Lakeside Pediatrics
• Lakeside Pediatrics North
• Lakeside Pediatrics South

• Pediatric Physical Therapist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.