Organization Active NPI

Thera-Peds, II LLC

  • Occupational Therapist
  • Jupiter, FL
National Provider Identifier
1962692780
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 3489 Issued in FL
Legal business name
THERA-PEDS, II LLC
Practice address
10152 W Indiantown Rd Ste 222
Jupiter, FL 33478-4707
Phone
(561) 748-6300
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Lisa Carlyle
Title
Partner
Phone
(561) 748-6300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 9427 FL
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 3489 FL Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SA 5594 FL

Addresses

Primary practice location

10152 W Indiantown Rd Ste 222
Jupiter, FL 33478-4707

Mailing address

10152 W Indiantown Rd Ste 222
Jupiter, FL 33478-4707

National Provider Directory

National Provider Directory
Tax ID family
Thera Peds II 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.

Locations

10152 Indiantown Rd
Jupiter, FL 33478
Phone (561) 748-6300

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1962692780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10152 W INDIANTOWN RD STE 222",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10152 W INDIANTOWN RD STE 222",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334784707",
            "telephone_number": "561-748-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-PEDS, II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-748-6300"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 9427",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 3489",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 5594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.