Martin Pickett

LBN: Pediatric Therapy Group Services
Martin Pickett is an health care organization with primary practice located at 4440 26Th St W Ste B, Bradenton FL 34207-1201. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Pediatric Therapy Group Services can be contacted via phone (941) 752-0408, or through Pickett, Steven Martin via phone 18432707022.

Contact Information

Primary practice address
4440 26Th St W Ste B Bradenton FL 34207-1201
Phone: (941) 752-0408
Fax: (941) 870-0876
Website:
Map and Directions
Authorized official contact:
Name: Pickett, Steven Martin
Phone: 18432707022

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT25967 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT11414 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT12006 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7026 Florida
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1205115763
LBN Legal business name Pediatric Therapy Group Services
DBA Doing business as Martin Pickett
Authorized official Pickett, Steven Martin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2011
Last updated Mar 22nd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205115763 NPPES
Florida MEDICAID 004007400
Florida MEDICAID 004007401

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