Florida Pediatric Therapy, Llc is a
Clinic/center based in Orlando, Florida. Florida Pediatric Therapy, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
12901 Broleman Rd, Orlando, Florida. It can be reached at their office (for appointments etc.) via phone at
(407) 641-0808.
NPI number for Florida Pediatric Therapy, Llc is 1043483969 and their current mailing address is 2130 Michigan Ave # 314, Kissimmee, Florida. Florida Pediatric Therapy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1043483969.
Healthcare Provider's Profile
| Full Name | Florida Pediatric Therapy, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center |
|---|
| Location | 12901 Broleman Rd, Orlando, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043483969
- Provider Enumeration Date: 04/11/2008
- Last Update Date: 09/12/2025
Medical Identifiers
Medical identifiers for Florida Pediatric Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043483969 | NPI | - | NPPES |
| 000924900 | Medicaid | FL | |
| 812213000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Florida Pediatric Therapy, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Florida Pediatric Therapy, Llc
2130 Michigan Ave # 314,
Kissimmee, FL 34744-2927
Ph: (407) 641-0808 | Florida Pediatric Therapy, Llc
12901 Broleman Rd,
Orlando, FL 32832-6107
Ph: (407) 641-0808 |
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