Infant and Pediatric Home Therapy
Organization Active NPI Early Intervention Provider Agency · Dania, FL
NPI 1811245384 · NPPES record last updated Aug 15, 2012
Key facts
- NPI
- 1811245384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- PT 2678 (FL)
- Legal business name
- INFANT AND PEDIATRIC HOME THERAPY
- Practice address
- 550 S.E. 4TH CT
Dania, FL 33004-0000 - Phone
- (954) 925-7034
- Fax
- (954) 925-7034
- NPI assigned
- Aug 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Michelle Marino Parente, P.T.
- Title
- Owner
- Phone
- (954) 925-7034
Corporate family (same tax ID) 1
Practitioners 5
-
Joan Epifanio Campbell, P.T.
-
George Parente, PHYSICAL THERAPY
-
Michelle Joanne Parente, P.T.
National Provider Directory
- Tax ID family
- Infant and Pediatric Home Therapy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | PT 2678 | FL | Yes |
Addresses
Primary practice location
550 S.E. 4TH CT
Dania, FL 33004-0000
Mailing address
550 SE 4TH CT
Dania, FL 33004-4738
Phone (954) 925-7034
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810412301 | Medicaid | FL |
Other providers in Dania, FL
- Lyubov Gargun
- Shanita Shan Grace
- Osleny Hernandez Rodriguez
- Melissa Suzanne Holtzman-Davis
- ICU Eye Associates
- Insta Medic, LLC
- Casey Obrien Johnson
- Tiffany Johnson
- Jessica Jordan
- Kidney Kare, Inc.
All providers in Dania, FL · Early Intervention Provider Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.