TLC Therapy, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TLC THERAPY, LLC

Practice address

4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151

Phone

(404) 974-9919

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Taylor J Davidson

Title

Ceo

Phone

(404) 974-9919

Specialties & licenses 3

Addresses

Other names 1

• TLC Pediatric Therapy Doing business as

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1942892286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 S APOPKA VINELAND RD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328193151",
            "telephone_number": "404-974-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-974-9919"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "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
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• TLC Autism Services, LLC
• TLC Healthcare Agency, Inc
• TLC Pediatric & Adolescent Medicine, P.a.
• TLC Pediatric Therapies Inc.
• TLC Pediatric Therapies Inc.
• TMRX Ventures
• TMRX Ventures LLC
• TMRX Ventures, LLC
• TMS Acquisitions, LLP
• TMS of Orlando

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.