PRODIGY MEDICAL PROFESSIONALS, LLC
NPI 1497977599
Contractor in Wellington, FL

Active since May 02, 2007
1621 RIPLEY RUN, WELLINGTON, FL 33414(561) 512-6057(561) 204-5093 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prodigy Medical Professionals, Llc NPPES

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

PRODIGY MEDICAL PROFESSIONALS, LLC (NPI 1497977599) is a healthcare organization registered as a contractor in Wellington, Florida and active in the NPI registry since May 2007. The organization lists Andrea (none) Pine-grimaldi, Managing Member (co-owner), as its authorized official.

NPPES Registry Identity

NPI1497977599
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NamePRODIGY MEDICAL PROFESSIONALS, LLC
Location Address1621 RIPLEY RUNWellington, FL 33414
Mailing Address1621 Ripley RunWellington, FL 33414 · (561) 512-6057 · Fax (561) 204-5093
Fax(561) 204-5093
Organization SubpartNo
Authorized OfficialAndrea (none) Pine-grimaldiManaging Member (co-owner) · (561) 512-6057
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1497977599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in FL · OT11509
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1621 RIPLEY RUN, Wellington, FL 33414

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 Prodigy Medical Professionals, LLC's NPI number?

The NPI number for Prodigy Medical Professionals, LLC is 1497977599. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Prodigy Medical Professionals, LLC located?

Prodigy Medical Professionals, LLC is located at 1621 Ripley Run, Wellington, FL 33414. The listed phone number is (561) 512-6057.

What is Prodigy Medical Professionals, LLC's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Prodigy Medical Professionals, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.