Progressive Pediatric Therapy Services Early Intervention
LBN: Progressive Pediatric Therapy Services Early Intervention
Progressive Pediatric Therapy Services Early Intervention is an health care organization with primary practice located at 1725 Hermitage Blvd , Tallahassee FL 32308-7709. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty.
Progressive Pediatric Therapy Services Early Intervention can be contacted via phone (850) 325-6301, or through Prejean, Kelly Quin via phone (850) 325-6301.
Contact Information
Primary practice address
1725 Hermitage Blvd
Tallahassee FL 32308-7709
Phone: (850) 325-6301
Fax: (850) 325-6302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X |
Profile Details
| NPI number | 1912459629 |
|---|---|
| LBN Legal business name | Progressive Pediatric Therapy Services Early Intervention |
| DBA Doing business as | |
| Authorized official | Prejean, Kelly Quin MA, CCC-SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 28th, 2016 |
| Last updated | Dec 18th, 2020 - about 5 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 | 1912459629 | NPPES |
| Florida | MEDICAID | 003247800 |
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