NPIMap

Organization Active NPI

Pediatric Therapy Works, Inc.

Doing business as Foundations Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Clearwater, FL
National Provider Identifier
1730389248
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PEDIATRIC THERAPY WORKS, INC.
Doing business as
Foundations Therapy
Practice address
2753 Sr 580 Ste 111
Clearwater, FL 33761-3352
Phone
(727) 724-5437
Fax
(813) 435-2125
NPI assigned
Jul 23, 2007
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Mrs. Amy L Perry, OTR/LNPI 1699827618
Title
Owner
Phone
(727) 724-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X OT 9659 FL

Addresses

Primary practice location

2753 Sr 580 Ste 111
Clearwater, FL 33761-3352

Mailing address

2753 Sr 580 Ste 111
Clearwater, FL 33761-3352
Phone (727) 724-5437

Other identifiers 1

IdentifierTypeStateIssuer
891770100MedicaidFL

Other names 1

  • Foundations Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2753 State Road 580
Ste 111
Clearwater, FL 33761
Phone (727) 724-5437

2759 State Road 580
Clearwater, FL 33761
Phone (727) 304-4341

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1730389248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 SR 580 STE 111",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613352",
            "telephone_number": "727-724-5437",
            "fax_number": "813-435-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 SR 580 STE 111",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613352",
            "telephone_number": "727-724-5437",
            "fax_number": "813-435-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY WORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-724-5437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "OT 9659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891770100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.