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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205115763 | NPPES |
| Florida | MEDICAID | 004007400 | |
| Florida | MEDICAID | 004007401 |
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