PEDIATRIC PHYSICAL THERAPY & SERVICES, INC. (NPI# 1093947848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093947848 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PHYSICAL THERAPY & SERVICES, INC. |
| Practice Address |
524 Kentucky St San Luis Obispo CA 93405-1913 |
| Mailing Address |
2585 Ironwood Ave Morro Bay CA 93442-1755 |
| Practice Telephone | 8057726014 |
| Practice Fax Number | 8057728246 |
| Mailing Telephone | 8057726014 |
| Mailing Fax Number | 8057728246 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |
| Authorized Official Name | MS. JULIE Y LOE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8057726014 |
| Authorized Official Credential | MA, ECSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
524 KENTUCKY ST |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881928166 | Brittany M Loe | Occupational Therapist | 524 Kentucky St, San Luis Obispo, CA 93405-1913 | 2009-09-19 |
| 1396977674 | Lori Cromer | Occupational Therapist | 524 Kentucky St, San Luis Obispo, CA 93405-1913 | 2009-08-20 |
| 1598997355 | Julie Y Loe | Physical Therapy Assistant | 524 Kentucky St, San Luis Obispo, CA 93405-1913 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709177 | Rising Star Preschool | Early Intervention Provider Agency | 3040 Fairmount Ave, San Diego, CA 92105-4639 | 2020-10-27 |
| 1629677141 | Am Early Intervention | Early Intervention Provider Agency | 653 N Cahuenga Blvd, Los Angeles, CA 90004-1103 | 2020-10-26 |
| 1225663644 | Anchobehavioralhealth | Early Intervention Provider Agency | 3356 Michael Dr, Marina, CA 93933-2314 | 2020-03-05 |
| 1780218966 | Aruni Ganewatte | Early Intervention Provider Agency | 4685 Via Del Rancho, Thousand Oaks, CA 91320-6745 | 2020-02-26 |
| 1275172579 | Carousel Developmental Service | Early Intervention Provider Agency | 300 S Park Ave Ste 804, Pomona, CA 91766-1559 | 2020-01-03 |
| 1982251468 | Brittany Mccabe | Early Intervention Provider Agency | 17447 Burma St, Encino, CA 91316-1336 | 2019-08-20 |
| 1942852900 | Plumas County Alcohol and Drug | Early Intervention Provider Agency | 270 County Hospital Rd Ste 127, Quincy, CA 95971-9174 | 2019-07-10 |
| 1467012831 | Daniela Wilmes | Early Intervention Provider Agency | 2774 Pine Creek Cir, Fullerton, CA 92835-2931 | 2019-06-18 |
| 1811550007 | Clinical Behavior LLC | Early Intervention Provider Agency | 5947 W Elowin Dr, Visalia, CA 93291-9222 | 2019-04-15 |
| 1720542830 | Familycare Behavioral Services | Early Intervention Provider Agency | 5669 Snell Ave # 451, San Jose, CA 95123-3328 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.