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SKY PEDIATRIC INC. NPI 1790755064


NPI Information

NPI: 1790755064
Provider Name: SKY PEDIATRIC, INC.

Doing Business As: SKY PEDIATRIC THERAPY

Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
1929 MAIN ST
#103
IRVINE, CA
ZIP 92614
Phone: (949) 797-9007
Get Directions

SKY PEDIATRIC, INC. is a pediatrics physical therapist in Irvine, CA. 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. SKY PEDIATRIC, INC. NPI is 1790755064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sky Pediatric Therapy.

The provider's business location address is:

1929 MAIN ST
#103
IRVINE, CA
ZIP 92614-509
Phone: (949) 797-9007
Fax: (949) 797-9234

The provider's authorized official is Susan Lundblade .
The authorized official title is Administrator and has the following contact phone number (949) 797-9007.

The enumeration date for this NPI number is 1/26/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251P0200XPhysical TherapistPediatricsYes
2225XP0200XOccupational TherapistPediatricsX
3235Z00000XSpeech-Language PathologistCALIFORNIAX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ36141ZOTHERCALIFORNIABLUE SHIELD
2ZZZ65557ZOTHERCALIFORNIABLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.