Nourish Pediatric Therapy, Llc is a
Clinic/center based in Orlando, Florida. Nourish Pediatric Therapy, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1900 Jake St Unit 105, Orlando, Florida. It can be reached at their office (for appointments etc.) via phone at
(407) 227-8370.
NPI number for Nourish Pediatric Therapy, Llc is 1265942205 and their current mailing address is 1900 Jake St Unit 105, Orlando, Florida. Nourish Pediatric Therapy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1265942205.
Healthcare Provider's Profile
| Full Name | Nourish Pediatric Therapy, Llc |
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| Type | Facility |
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| Speciality | Clinic/center |
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| Location | 1900 Jake St Unit 105, Orlando, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265942205
- Provider Enumeration Date: 10/04/2017
- Last Update Date: 12/01/2017
Medical Identifiers
Medical identifiers for Nourish Pediatric Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265942205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (Florida) | Secondary |
| 225X00000X | Occupational Therapist | (Florida) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Florida) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (Florida) | 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. Nourish 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 |
|---|
Nourish Pediatric Therapy, Llc
1900 Jake St Unit 105,
Orlando, FL 32814-5915
Ph: (407) 227-8370 | Nourish Pediatric Therapy, Llc
1900 Jake St Unit 105,
Orlando, FL 32814-5915
Ph: (407) 227-8370 |
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