Organization Active NPI

Impact for Developmental Education, Inc

  • Early Intervention Provider Agency
  • Fort Myers, FL
National Provider Identifier
1760525539
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
IMPACT FOR DEVELOPMENTAL EDUCATION, INC
Practice address
1650 Medical LN Ste 4
Fort Myers, FL 33907-1116
Phone
(239) 628-1061
NPI assigned
Feb 14, 2007
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Mrs. Maxine Gibbs
Title
Executive Director
Phone
(239) 628-1061

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU
Clinic/Center 261Q00000X NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1650 Medical LN Ste 4
Fort Myers, FL 33907-1116

Mailing address

PO Box 51319
Fort Myers, FL 33994-1319
Phone (239) 239-1061

Other identifiers 1

IdentifierTypeStateIssuer
811806000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Impact for Developmental Education Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1760525539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51319",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339941319",
            "telephone_number": "239-239-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MEDICAL LN STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071116",
            "telephone_number": "239-628-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT FOR DEVELOPMENTAL EDUCATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "239-628-1061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811806000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.