Orlando Pediatric Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ORLANDO PEDIATRIC THERAPY LLC

Practice address

65899 Van Dyke Rd
Washington TWP, MI 48095-2014

Phone

(586) 942-2620

NPI assigned

Aug 8, 2023

Last updated

Feb 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelsey Rose OrlandoNPI 1174981963

Title

Owner

Phone

(586) 942-2620

Specialties & licenses 1

Addresses

Tax ID family

Lifelab Kids Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lifelab Kids Foundation

  • Behavior Analyst
  • Ferndale, MI
  • NPI 1992286306
  NPD tax ID

Practitioners 1

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.

• Kelsey Rose Orlando

  • Speech-Language Pathologist
  • Washington TWP, MI
  • NPI 1174981963
  NPD Authorized official

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1811670706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65899 VAN DYKE RD",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480952014",
            "telephone_number": "586-942-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65899 VAN DYKE RD",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "480952014",
            "telephone_number": "586-942-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2863 Bay Hill Ct",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MI",
            "postal_code": "483632459",
            "country_code": "US",
            "telephone_number": "586-495-0118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORLANDO PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-942-2620"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meijer Inc (Meijer Pharmacy #177)
• Michigan Orthopedic & Spinal Surgery PLLC
• Sarah Newman, NP
• Optometry, P.C. (Family Eye Care Associates)
• Orchard View Pharmacy LLC
• Kelsey Rose Orlando
• Pointe Family Dentistry Washington (Pointe Dental Group)
• Kaitlyn Raimondo, PTA
• Donna Lynn Ralston, OTRL
• Janis Elizabeth Romanik, D.O.

• Speech-Language Pathologist in Washington TWP, MI
• Providers in Washington TWP, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.