VICTORY RIDGE ACADEMY, INC.
NPI 1184044612
Clinic/Center in Lake Wales, FL

Q: What is Victory Ridge Academy, Inc.'s NPI number?

The NPI number for Victory Ridge Academy, Inc. is 1184044612. It was assigned to this organization in the NPPES registry on April 23, 2014.

Q: What is Victory Ridge Academy, Inc.'s specialty?

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

Active since April 23, 2014

501 BURNS AVE, LAKE WALES, FL 33853(863) 679-3338(863) 679-3944 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2022, Jun 16, 2020, Jul 23, 2018 and 1 more (4 updates tracked since 2016).

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About Victory Ridge Academy, Inc. NPPES

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

VICTORY RIDGE ACADEMY, INC. (NPI 1184044612) is a healthcare organization registered as a clinic/center in Lake Wales, Florida and active in the NPI registry since April 2014. The organization lists Steven Whitaker, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184044612

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameVICTORY RIDGE ACADEMY, INC.

Location Address501 BURNS AVELake Wales, FL 33853-3335

Mailing Address501 Burns AveLake Wales, FL 33853-3335 · (863) 679-3338 · Fax (863) 679-3944

Phone(863) 679-3338

Fax(863) 679-3944

Organization SubpartNo

Authorized OfficialSteven WhitakerExecutive Director · (863) 679-3338

Enumeration DateApril 23, 2014

Last NPPES UpdateNovember 8, 20224 updates tracked since enumeration

NPPES CertifiedNovember 8, 2022

✔ NPI 1184044612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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).

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

501 BURNS AVE, Lake Wales, FL 33853

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Other Identifiers 1

Medicaid010977000FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REAGAN ALLEN COTA/L

Occupational Therapy Assistant