EARLY CHOICE PEDIATRIC THERAPY PLLC NPI 1114098274

NPI Information

  • NPI: 1114098274
  • Provider Name: EARLY CHOICE PEDIATRIC THERAPY, PLLC
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 106 E 15TH ST
    VANCOUVER, WA
    ZIP 98663
  • Phone: (360) 750-5850

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NPI Details

EARLY CHOICE PEDIATRIC THERAPY, PLLC is a developmental disabilities clinic center in Vancouver, WA. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). EARLY CHOICE PEDIATRIC THERAPY, PLLC NPI is 1114098274. The provider is registered as an organization entity type.

The provider's business location address is:

106 E 15TH ST
VANCOUVER, WA
ZIP 98663-401
Phone: (360) 750-5850
Fax: (360) 750-7244

The provider's authorized official is Robin Lysane Pelletier .
The authorized official title is Executive Director and has the following contact phone number (360) 750-5850.

The enumeration date for this NPI number is 11/12/2006 and was last updated on 8/22/2020.

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 License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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
18335184MEDICAIDWASHINGTON

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: 11/21/2025

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