Pediatric Foundations, Pllc

LBN: Pediatric Foundations, Pllc
Pediatric Foundations, Pllc is an health care organization with primary practice located at 2624 Mt Isle Harbor Dr , Charlotte NC 28214-5413. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Pediatric Foundations, Pllc can be contacted via phone (727) 420-0267, or through Richards, Linnette via phone (727) 420-0267.

Contact Information

Primary practice address
2624 Mt Isle Harbor Dr Charlotte NC 28214-5413
Phone: (727) 420-0267
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richards, Linnette OTR/L
Phone: (727) 420-0267

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1932762622
LBN Legal business name Pediatric Foundations, Pllc
DBA Doing business as
Authorized official Richards, Linnette OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2019
Last updated May 28th, 2019 - about 7 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 1932762622 NPPES
North Carolina Other 1659420040 TRICARE
North Carolina Other 1659420040 TRICARE
North Carolina Other 2084 TRICARE
North Carolina Other 18923 TRICARE
North Carolina MEDICAID 1659420040 TRICARE
North Carolina Other 006528 TRICARE

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