Active NPI
Patrice Denise Gantt, M.ED
- Developmental Therapist
- Pompano Beach,, FL
National Provider Identifier
1710248257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 222Q00000X
- Practice address
- 2708 NE 14TH Street, Suite 5,
Butterfly Effects
Pompano Beach,, FL 33064 - Phone
- (888) 880-9270
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 222Q00000X | VA | Primary |
Addresses
Primary practice location
2708 NE 14TH Street, Suite 5,
Butterfly Effects
Pompano Beach,, FL 33064
Mailing address
500 Shelton Rd
Hampton, VA 23663-2110
Phone (757) 528-7193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222Q00000X | VA | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1710248257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SHELTON RD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236632110",
"telephone_number": "757-528-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 NE 14TH STREET, SUITE 5,",
"address_2": "BUTTERFLY EFFECTS",
"city": "POMPANO BEACH,",
"state": "FL",
"postal_code": "33064",
"telephone_number": "888-880-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTT",
"first_name": "PATRICE",
"middle_name": "DENISE",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "VA",
"license": "222Q00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach,, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.