The Peach Pit LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

THE PEACH PIT LLC

Practice address

2216 S Jog Rd
Greenacres, FL 33415-6101

Phone

(561) 412-5577

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Justine FradilladaNPI 1013450808

Title

Manager

Phone

(561) 809-5461

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

The Peach Pit LLC2 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.

• The Peach Pit LLC

  • Pediatric Physical Therapist
  • Greenacres, FL
  • NPI 1447148614
  NPD tax ID

Practitioners 2

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

• Justine Fradillada

  • Physical Therapist
  • Pembroke Pines, FL
  • NPI 1013450808
  NPD Authorized official
• Bailey Eklof, MT-BC

  • Music Therapist
  • Greenacres, FL
  • NPI 1679448328
  NPD

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1902554041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9861 ROBINS NEST RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962144",
            "telephone_number": "561-809-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334156101",
            "telephone_number": "561-412-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEACH PIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "FRADILLADA",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-809-5461",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020460500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thamara Noel Medical Supplies LLC
• The Divine Child Rehab Inc
• The Golden Years Activity Center & Rehabilitation
• The Learning Lab LLC
• The Peach Pit LLC
• Nicole Brigette Thomas, M.D.
• Takiyah Thomas, LMHC
• Kathy Williams Thompson, SLP
• Nancy Elizabeth Thompson, OT
• Thrive Haven Solutions LLC

• Pediatric Physical Therapist in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.