PEDIATRIC FOUNDATIONS PLLC NPI 1932762622

NPI Information

NPI: 1932762622
Provider Name: PEDIATRIC FOUNDATIONS, PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2624 MT ISLE HARBOR DR
CHARLOTTE, NC
ZIP 28214
Phone: (727) 420-0267
Get Directions

PEDIATRIC FOUNDATIONS, PLLC is a multi-specialty clinic center in Charlotte, NC. PEDIATRIC FOUNDATIONS, PLLC NPI is 1932762622. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2624 MT ISLE HARBOR DR
CHARLOTTE, NC
ZIP 28214-413
Phone: (727) 420-0267

The provider's authorized official is Linnette Richards .
The authorized official title is Operations Manager and has the following contact phone number (727) 420-0267.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 5/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	225100000X	Physical Therapist		No
2	225X00000X	Occupational Therapist		No
3	235Z00000X	Speech-Language Pathologist		No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1659420040	MEDICAID	FLORIDA
2	1659420040	OTHER	NORTH CAROLINA	MEDCOST
3	1659420040	OTHER	NORTH CAROLINA	TRICARE
4	18923	OTHER	NORTH CAROLINA	BCBSNC
5	2084	OTHER	NORTH CAROLINA	REHAB PROVIDER NETWORK
6	006528	OTHER	NORTH CAROLINA	OPTUM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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