Pediatric Therapy Services, Inc. in Brandon - Clinic/center
Pediatric Therapy Services, Inc. - NPI 1871769349
Pediatric Therapy Services, Inc. is a Clinic/center in Brandon, Florida. Pediatric Therapy Services, Inc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Pediatric Therapy Services, Inc. is 1871769349. The last update date is 2018-08-20.
Pediatric Therapy Services, Inc.'s current location address is 206 Ridgewood Ave, Brandon, Florida. You can contact this provider via phone number 8136621060 and fax number 8136620530. The mailing address for Pediatric Therapy Services, Inc. is 206 Ridgewood Ave, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Therapy Services, Inc. |
|---|---|
| Address | 206 Ridgewood Ave, Brandon, Florida |
| Phone Number | 8136621060 |
| Fax Number | 8136620530 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Kilburn Graham |
| Telephone Number | 8136621060 |
NPI Number Detail
| NPI Number | 1871769349 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2018-08-20 |
Provider Mailing Address Detail
| Address | 206 Ridgewood Ave |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335104617 |
| Phone Number | 8136621060 |
| Fax Number | 8136620530 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 24393800 | FL | -- | |
| 6406221 | FL | UNITED HEALTHCARE | |
| 8803579-04 | FL | -- | |
| 8810363001 | FL | CIGNA | |
| Y906F | FL | BLUE CROSS BLUE SHIELD | |
| 664175 | FL | AETNA | |
| 13424302 | FL | CITRUS COMMERCIAL/HMO | |
| 8803579-01 | FL | -- |
Post Comment/ Review Below
What is the Pediatric Therapy Services, Inc.'s unique identification number?
The Pediatric Therapy Services, Inc. has been assigned the NPI (National Provider Identifier) Number 1871769349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Pediatric Therapy Services, Inc.?
The Pediatric Therapy Services, Inc. is situated at 206 Ridgewood Ave, in the city of Brandon, state of FL, with the zip code 335104617.
What is the Pediatric Therapy Services, Inc.'s specialty and taxonomy code?
The Pediatric Therapy Services, Inc.'s specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did Pediatric Therapy Services, Inc. receive its 1871769349 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Therapy Services, Inc. was assigned its 1871769349 on 2008-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Pediatric Therapy Services, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric Therapy Services, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-08-20.