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PEDIATRIC THERAPY INTENSIVES LLC NPI 1063869808


NPI Information

NPI: 1063869808
Provider Name: PEDIATRIC THERAPY INTENSIVES LLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 10D2020184

Address:
9330 SUMMER PL
NAPLES, FL
ZIP 34109
Phone: (239) 571-7309
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PEDIATRIC THERAPY INTENSIVES LLC is a pediatrics physical therapist in Naples, FL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PEDIATRIC THERAPY INTENSIVES LLC NPI is 1063869808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9330 SUMMER PL
NAPLES, FL
ZIP 34109-517
Phone: (239) 571-7309

The provider's authorized official is Janice Justiz .
The authorized official title is Owner and has the following contact phone number (239) 571-7309.

The CLIA number assigned to this NPI record is 10D2020184 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2016 and was last updated on 5/23/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatricsYes

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: 4/28/2024

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