EASTERSEALS NORTHEAST CENTRAL FLORIDA (NPI# 1376631747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376631747 |
| Entity Type | Organization |
| Organization Name | EASTERSEALS NORTHEAST CENTRAL FLORIDA |
| Other Organization Name | EASTER SEALS |
| Practice Address |
1219 Dunn Ave Daytona Beach FL 32114 |
| Mailing Address |
1219 Dunn Ave Daytona Beach FL 32114-2405 |
| Practice Telephone | 3862554568 |
| Practice Fax Number | 3862587677 |
| Mailing Telephone | 3862554568 |
| Mailing Fax Number | 3862587677 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | MS. BEVERLY JOHNSON (CEO (PRESIDENT)) |
| Authorized Official Telephone | 3862554568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 14797 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 883828300 | 05 |
| Other Name | Type Code |
|---|---|
| Easter Seals | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740782697 | Easterseals Northeast Central Florida | Behavioral Analyst | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2018-03-07 |
| 1881898559 | Easterseals Northeast Central Florida | Physical Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2007-06-14 |
| 1417092461 | Easterseals Northeast Central Florida | Speech-Language Pathologist | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2007-02-20 |
| 1326183377 | Easterseals Northeast Central Florida | Clinic/Center | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2007-02-20 |
| 1336203702 | Easterseals Northeast Central Florida | Voluntary or Charitable | 1219 Dunn Ave, Daytona Beach, FL 32114 | 2006-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTERSEALS NORTHEAST CENTRAL FLORIDA | 1219 Dunn Avenue, Daytona Beach, FL 32114-2405 |
| Street Address |
1219 DUNN AVE |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225050289 | Audrey Susan Tyler | Speech-Language Pathologist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2006-07-25 |
| 1164030532 | Easterseals Northeast Central Florida, Inc. | Community/Behavioral Health | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-21 |
| 1043838915 | Rebecca Roberts | Behavior Technician | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-07-08 |
| 1649897612 | Joy Rogers | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-06-25 |
| 1447882139 | Jill Marie Baxter | Physical Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2020-02-10 |
| 1740822956 | Sharon Schwab | Occupational Therapy Assistant | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-10-09 |
| 1376104851 | Kimberly Jackson | Occupational Therapist | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-06-25 |
| 1619435146 | Onisha Johnson | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-03-04 |
| 1265905459 | Romina Henriquez | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2019-01-10 |
| 1174002463 | Crystal Rich | Social Worker | 1219 Dunn Ave, Daytona Beach, FL 32114-2405 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891825881 | Elizabeth Miscally Chapman | Physical Therapist | 1104 Beville Road, Suite J, Daytona Beach, FL 32114 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537867 | Star Therapy Services, Inc. | Physical Therapist | 12793 Sw 250th Ter, Homestead, FL 33032-9088 | 2020-08-07 |
| 1669081634 | Little Steps Florida LLC | Physical Therapist | 2101 Multrees Xing Unit 306, Dunedin, FL 34698-6996 | 2020-07-27 |
| 1154948958 | Grounded Ventures LLC | Physical Therapist | 2146 N 72nd Ter, Pembroke Pines, FL 33024-1042 | 2020-06-29 |
| 1033733464 | Horizons Therapy Services LLC | Physical Therapist | 11066 Suspense Dr, Winter Garden, FL 34787-1752 | 2020-06-01 |
| 1326672593 | Kellie Burch | Physical Therapist | 17677 Mahan Dr, Tallahassee, FL 32309-8679 | 2020-02-26 |
| 1891339578 | Tricia Steffey | Physical Therapist | 2027 Se 5th St, Ocala, FL 34471-2503 | 2019-11-05 |
| 1407402662 | Lora Krystine Kuehn | Physical Therapist | 9872 Nob Hill Ct, Sunrise, FL 33351-4621 | 2019-08-14 |
| 1750937975 | Florida Kids Therapy Medley LLC | Physical Therapist | 7911 Nw 72nd Ave Ste 220, Medley, FL 33166-2224 | 2019-08-13 |
| 1467920249 | Home Sweet Home Pediatric Therapy, LLC | Physical Therapist | 11246 Sw Olmstead Dr, Port Saint Lucie, FL 34987-1945 | 2018-11-09 |
| 1003306119 | Livya Barreirinhas,llc | Physical Therapist | 185 Springline Dr, Vero Beach, FL 32963-2940 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on EASTERSEALS NORTHEAST CENTRAL FLORIDA.
| 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.