PEDIATRIC FOUNDATIONS, PLLC
NPI 1932762622
Clinic/Center - Multi-Specialty in Charlotte, NC

Active since April 17, 2019
2624 MT ISLE HARBOR DR, CHARLOTTE, NC 28214(727) 420-0267 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2019, Apr 17, 2019 (2 updates tracked since 2019).

About Pediatric Foundations, Pllc NPPES

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

PEDIATRIC FOUNDATIONS, PLLC (NPI 1932762622) is a healthcare organization registered as a multi-specialty in Charlotte, North Carolina and active in the NPI registry since April 2019. The organization lists Linnette Richards, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1932762622
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePEDIATRIC FOUNDATIONS, PLLC
Location Address2624 MT ISLE HARBOR DRCharlotte, NC 28214-5413
Mailing Address2624 Mt Isle Harbor DrCharlotte, NC 28214-5413 · (727) 420-0267
Organization SubpartNo
Authorized OfficialLinnette RichardsOperations Manager · (727) 420-0267
Enumeration DateApril 17, 2019
Last NPPES UpdateMay 28, 20192 updates tracked since enumeration
NPI 1932762622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
2624 MT ISLE HARBOR DR, Charlotte, NC 28214

Other Identifiers 6

Medicaid1659420040FL
Other1659420040NC · Medcost
Other1659420040NC · Tricare
Other18923NC · Bcbsnc
Other2084NC · Rehab Provider Network
Other006528NC · Optum

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 Pediatric Foundations, PLLC's NPI number?

The NPI number for Pediatric Foundations, PLLC is 1932762622. It was assigned to this organization in the NPPES registry on April 17, 2019.

Where is Pediatric Foundations, PLLC located?

Pediatric Foundations, PLLC is located at 2624 Mt Isle Harbor Dr, Charlotte, NC 28214. The listed phone number is (727) 420-0267.

What is Pediatric Foundations, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Pediatric Foundations, PLLC was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.