Organization Active NPI

Choice Pediatric Therapy Center

  • Pediatric Occupational Therapist
  • Weston, FL
National Provider Identifier
1790940054
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 9969 Issued in FL
Legal business name
CHOICE PEDIATRIC THERAPY CENTER
Practice address
2751 Executive Park Dr
Suite 202
Weston, FL 33331-3660
Phone
(954) 349-2922
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Mrs. Jyoti Minesh Patel, MOT, OTR/L
Title
Co-Owner
Phone
(954) 349-2922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X OT 9969 FL Primary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X OT 9973 FL

Addresses

Primary practice location

2751 Executive Park Dr
Suite 202
Weston, FL 33331-3660

Mailing address

2751 Executive Park Dr
Suite 202
Weston, FL 33331-3660
Phone (954) 349-2922

Other identifiers 2

IdentifierTypeStateIssuer
887708400MedicaidFL
886538800MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1790940054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 EXECUTIVE PARK DR",
            "address_2": "SUITE 202",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313660",
            "telephone_number": "954-349-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 EXECUTIVE PARK DR",
            "address_2": "SUITE 202",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313660",
            "telephone_number": "954-349-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE PEDIATRIC THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_middle_name": "MINESH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "954-349-2922",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 9969",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 9973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887708400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886538800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.