NPIMap

Organization Active NPI

New Horizon Pediatric Services LLC

  • Clinic/Center
  • Clearwater, FL
National Provider Identifier
1992256481
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
PT9908 Issued in FL
Legal business name
NEW HORIZON PEDIATRIC SERVICES LLC
Practice address
4707 140TH Ave N
Suite 313
Clearwater, FL 33762-3834
Phone
(727) 768-3877
NPI assigned
Oct 19, 2016
Last updated
Feb 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Melissa EwingNPI 1992257091
Title
President
Phone
(727) 744-3629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Clinic/Center 261Q00000X PT9908 FL Primary
Physical Therapist 225100000X PT9908 FL
Pediatric Physical Therapist 2251P0200X PT12196 FL
Occupational Therapist 225X00000X OT10642 FL

Addresses

Primary practice location

4707 140TH Ave N
Suite 313
Clearwater, FL 33762-3834

Mailing address

4707 140TH Ave N
Suite 313
Clearwater, FL 33762-3834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190227002523 FL Part B Supplier - Clinic/Group Practice 0244579738 Receives reassigned benefits from 12 practitioners
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1992256481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N",
            "address_2": "SUITE 313",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 140TH AVE N",
            "address_2": "SUITE 313",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337623834",
            "telephone_number": "727-768-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZON PEDIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-744-3629"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PT9908",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT9908",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT12196",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.