Active NPI
Quinton Wilson
- Developmentally Disabled Services Day Training Agency
- Lakeland, FL
National Provider Identifier
1932057551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 129611400
- Practice address
- 5519 Myrtice LN
Lakeland, FL 33810-3200 - Phone
- (863) 409-1135
- NPI assigned
- Mar 19, 2026
- Last updated
- Mar 19, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 129611400 | FL | Primary |
Addresses
Primary practice location
5519 Myrtice LN
Lakeland, FL 33810-3200
Mailing address
5519 Myrtice LN
Lakeland, FL 33810-3200
Phone (863) 409-1135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129611400 | FL | MD | Developmentally Disabled Services Day Training Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arm 2 Arm Support Services LLC | Day Training, Developmentally Disabled Services | Current | Accepting new patients |
| Hearts of Helping Hands Homecare LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Lakeland, FL
- NPI 1528906252
Day Training, Developmentally Disabled Services
-
- In Home Supportive Care Agency
- Lakeland, FL
- NPI 1902471550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1932057551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5519 MYRTICE LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103200",
"telephone_number": "863-409-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5519 MYRTICE LN",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338103200",
"telephone_number": "863-409-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "QUINTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-19",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "FL",
"license": "129611400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.