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PROVIDENCE PEDIATRIC THERAPY
NPI 1477132579
Physical Therapist - Pediatrics in Tampa, FL

Active since April 06, 2021
7616 W COURTNEY CAMPBELL CSWY UNIT 210, TAMPA, FL 33607(815) 505-5545 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Apr 6, 2021 (2 updates tracked since 2021).

About Providence Pediatric Therapy NPPES

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

PROVIDENCE PEDIATRIC THERAPY (NPI 1477132579) is a healthcare organization registered as a pediatrics in Tampa, Florida and active in the NPI registry since April 2021. The organization lists Hannah Nicole Berge, Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1477132579
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NamePROVIDENCE PEDIATRIC THERAPY
Location Address7616 W COURTNEY CAMPBELL CSWY UNIT 210Tampa, FL 33607-1533
Mailing Address7616 W Courtney Campbell Cswy Unit 210Tampa, FL 33607-1533 · (815) 505-5545
Phone(815) 505-5545
Organization SubpartNo
Authorized OfficialHannah Nicole BergeOccupational Therapist · (815) 505-5545
Enumeration DateApril 6, 2021
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1477132579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
7616 W COURTNEY CAMPBELL CSWY UNIT 210, Tampa, FL 33607
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Other Identifiers 1

MedicaidOT20551FL

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 Providence Pediatric Therapy's NPI number?

The NPI number for Providence Pediatric Therapy is 1477132579. It was assigned to this organization in the NPPES registry on April 6, 2021.

Where is Providence Pediatric Therapy located?

Providence Pediatric Therapy is located at 7616 W Courtney Campbell Cswy Unit 210, Tampa, FL 33607. The listed phone number is (815) 505-5545.

What is Providence Pediatric Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Providence Pediatric Therapy was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.