Organization Active NPI

Achieve Pediatric Therapy Early Intervention

  • Early Intervention Provider Agency
  • Orlando, FL
National Provider Identifier
1902143480
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ACHIEVE PEDIATRIC THERAPY EARLY INTERVENTION
Practice address
1525 S Alafaya TRL
Suite 102
Orlando, FL 32828-8926
Phone
(407) 277-5400
Fax
(321) 281-4942
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Heather B Gray, M.S., OTR/LNPI 1912943226
Title
Owner/Occupational Therapist
Phone
(407) 277-5400

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
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1525 S Alafaya TRL
Suite 102
Orlando, FL 32828-8926

Mailing address

1525 S. Alafaya Trail
Suite 102
Orlando, FL 32828
Phone (407) 277-5400

Other identifiers 1

IdentifierTypeStateIssuer
003591700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Achieve Pediatric Therapy Early Intervention4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1525 S Alafaya Trl
Ste 102
Orlando, FL 32828
Phone (321) 236-8452

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1902143480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S. ALAFAYA TRAIL",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32828",
            "telephone_number": "407-277-5400",
            "fax_number": "321-281-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S ALAFAYA TRL",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288926",
            "telephone_number": "407-277-5400",
            "fax_number": "321-281-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PEDIATRIC THERAPY EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "407-277-5400",
        "authorized_official_credential": "M.S., OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003591700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.