Organization Active NPI

Pediatric Feeding Institute of South Florida

  • Developmental Therapist
  • Boca Raton, FL
National Provider Identifier
1851876395
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
PEDIATRIC FEEDING INSTITUTE OF SOUTH FLORIDA
Practice address
10604 Pebble Cove LN
Boca Raton, FL 33498-6341
Phone
(561) 951-0434
NPI assigned
Oct 1, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Andrea Alifano, MSNPI 1942288766
Title
Owner/Speech Pathologist
Phone
(561) 951-0434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X NU Primary

Addresses

Primary practice location

10604 Pebble Cove LN
Boca Raton, FL 33498-6341

Mailing address

10604 Pebble Cove LN
Boca Raton, FL 33498-6341
Phone (561) 951-0434

Other identifiers 1

IdentifierTypeStateIssuer
704794MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1851876395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 PEBBLE COVE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986341",
            "telephone_number": "561-951-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 PEBBLE COVE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334986341",
            "telephone_number": "561-951-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC FEEDING INSTITUTE OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ALIFANO",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "561-951-0434",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "704794",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.