Prestige Artistic Therapy Group Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRESTIGE ARTISTIC THERAPY GROUP INC

Practice address

2132 Central Florida Pkwy
Orlando, FL 32837-8978

Phone

(248) 470-5644

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Diane D King

Title

Owner

Phone

(248) 470-5644

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1790322295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104820",
            "telephone_number": "248-470-5644",
            "fax_number": "866-496-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 CENTRAL FLORIDA PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378978",
            "telephone_number": "248-470-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE ARTISTIC THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-470-5644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinah Moirah Pressage, RBT
• Melissa Renee Pressimone, M.A. ITDS
• Kevin Lee Pressley, D.O.
• Kaylin Prestage, MD
• Adreanna Prestenbach
• Prestige Care Assisted Living, LLC
• Prestige Home Health Agency LL
• Prestige Massage & Rehab Center, LLC
• Prestige Medi Services & Rehab
• Prestige Medic Services & Rehab Center LLC

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.