Pediatric Potentials, Inc.

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

Legal business name

PEDIATRIC POTENTIALS, INC.

Practice address

295 Waymont CT
Lake Mary, FL 32746-6744

Phone

(407) 322-3962

Fax

(407) 323-1614

NPI assigned

Jul 21, 2006

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Arnone

Title

President

Phone

(407) 322-3962

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli Arnone, MOT, OTRL

  • Pediatric Occupational Therapist
  • Lake Mary, FL
  • NPI 1396885232
  NPD (past)
• Jessica Ashley Brown, MA, CCC-SLP

  • Speech-Language Pathologist
  • Lake Mary, FL
  • NPI 1497192165
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1982624771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466744",
            "telephone_number": "407-322-3962",
            "fax_number": "407-323-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466744",
            "telephone_number": "407-322-3962",
            "fax_number": "407-323-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC POTENTIALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "ARNONE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-322-3962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888328900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Taylor Pazol
• Matthew Clark Pearce, MSW LCSW
• Jamie Pecot
• Dyuti Peddapuli, PA-C
• Mary Sena Pederson, OTR/L
• Pediatrix Medical Group of Florida, Inc
• Pedro M. Ramirez MD PLLC (Neurosurgery of Central Florida)
• Mark William Pegan, D.C.
• Deanne Josephine Pelliccio
• Rafael Eduardo Pena, MD

• Pediatric Rehabilitation Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Pediatric Rehabilitation Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.