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BEACHSIDE PEDIATRIC THERAPY INC
NPI 1003671736
Clinic/Center in Indian Harbour Beach, FL

Active since February 21, 2024
2040 HIGHWAY A1A STE 203, INDIAN HARBOUR BEACH, FL 32937(321) 890-7720(321) 821-0477 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beachside Pediatric Therapy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEACHSIDE PEDIATRIC THERAPY INC (NPI 1003671736) is a healthcare organization registered as a clinic/center in Indian Harbour Beach, Florida and active in the NPI registry since February 2024. The organization lists Kimberly Mills, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1003671736
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBEACHSIDE PEDIATRIC THERAPY INC
Location Address2040 HIGHWAY A1A STE 203Indian Harbour Beach, FL 32937-3566
Mailing AddressPo Box 372084Satellite Beach, FL 32937-0084 · (321) 890-7720 · Fax (321) 821-0477
Phone(321) 890-7720
Fax(321) 821-0477
Organization SubpartNo
Authorized OfficialKimberly MillsOwner/president · (321) 890-7720
Enumeration DateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1003671736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2040 HIGHWAY A1A STE 203, Indian Harbour Beach, FL 32937
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beachside Pediatric Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beachside Pediatric Therapy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Mills, OTRL
Occupational Therapist in Private Practice
NPI 1982822029
2040 HIGHWAY A1A STE 203
Indian Harbour Beach, FL 32937
(321) 890-7720
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beachside Pediatric Therapy Inc's NPI number?

The NPI number for Beachside Pediatric Therapy Inc is 1003671736. It was assigned to this organization in the NPPES registry on February 21, 2024.

Where is Beachside Pediatric Therapy Inc located?

Beachside Pediatric Therapy Inc is located at 2040 Highway A1a Ste 203, Indian Harbour Beach, FL 32937. The listed phone number is (321) 890-7720.

What is Beachside Pediatric Therapy Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Beachside Pediatric Therapy Inc enrolled in Medicare?

Yes. Beachside Pediatric Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beachside Pediatric Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Beachside Pediatric Therapy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beachside Pediatric Therapy Inc was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.