NOURISH PEDIATRIC THERAPY, LLC
NPI 1265942205
Clinic/Center in Orlando, FL

Q: What is Nourish Pediatric Therapy, LLC's NPI number?

The NPI number for Nourish Pediatric Therapy, LLC is 1265942205. It was assigned to this organization in the NPPES registry on October 4, 2017.

Q: What is Nourish Pediatric Therapy, LLC's specialty?

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

Active since October 04, 2017

1900 JAKE ST UNIT 105, ORLANDO, FL 32814(407) 227-8370 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nourish Pediatric Therapy, Llc NPPES

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

NOURISH PEDIATRIC THERAPY, LLC (NPI 1265942205) is a healthcare organization registered as a clinic/center in Orlando, Florida and active in the NPI registry since October 2017. The organization lists Amanda Stevens, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1265942205

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameNOURISH PEDIATRIC THERAPY, LLC

Location Address1900 JAKE ST UNIT 105Orlando, FL 32814-5915

Mailing Address1900 Jake St Unit 105Orlando, FL 32814-5915 · (407) 227-8370

Phone(407) 227-8370

Organization SubpartNo

Authorized OfficialAmanda StevensSpeech-language Pathologist · (407) 227-8370

Enumeration DateOctober 4, 2017

Last NPPES UpdateDecember 1, 2017

✔ NPI 1265942205 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 ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X

1900 JAKE ST UNIT 105, Orlando, FL 32814

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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

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 Nourish Pediatric Therapy, LLC's NPI number?

The NPI number for Nourish Pediatric Therapy, LLC is 1265942205. It was assigned to this organization in the NPPES registry on October 4, 2017.

Where is Nourish Pediatric Therapy, LLC located?

Nourish Pediatric Therapy, LLC is located at 1900 Jake St Unit 105, Orlando, FL 32814. The listed phone number is (407) 227-8370.

What is Nourish Pediatric Therapy, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Nourish Pediatric Therapy, LLC was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.