Developmental Pediatric Therapy Center, LLC

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

DEVELOPMENTAL PEDIATRIC THERAPY CENTER, LLC

Practice address

7958 NW 18TH CT
Pembroke Pines, FL 33024-3676

Phone

(786) 510-0286

Fax

(561) 354-6031

NPI assigned

Apr 16, 2014

Last updated

Apr 24, 2014By 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

Ms. Rennay Rose, B.A.

Title

Director

Phone

(786) 510-0286

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1891115952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 W HEATHER LN",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252384",
            "telephone_number": "786-510-0286",
            "fax_number": "561-354-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7958 NW 18TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243676",
            "telephone_number": "786-510-0286",
            "fax_number": "561-354-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL PEDIATRIC THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "RENNAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-510-0286",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.