PATH TO PROGRESSIVE HEALTH CARE NPI 1356867717

NPI Information

  • NPI: 1356867717
  • Provider Name: PATH TO PROGRESSIVE HEALTH CARE
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 4174 CORSAIR AVE
    KISSIMMEE, FL
    ZIP 34741
  • Phone: (321) 805-0282

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NPI Details

PATH TO PROGRESSIVE HEALTH CARE is a developmental disabilities clinic center in Kissimmee, FL. 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.). PATH TO PROGRESSIVE HEALTH CARE NPI is 1356867717. The provider is registered as an organization entity type.

The provider's business location address is:

4174 CORSAIR AVE
KISSIMMEE, FL
ZIP 34741-949
Phone: (321) 805-0282

The provider's authorized official is Lewdy Enid Matias .
The authorized official title is President and has the following contact phone number (321) 805-0282.

The enumeration date for this NPI number is 8/17/2017 and was last updated on 7/21/2022.

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
113568687717MEDICAIDFLORIDA

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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