THE GULFSIDE GROUP, LLC (NPI# 1851902514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851902514 |
| Entity Type | Organization |
| Organization Name | THE GULFSIDE GROUP, LLC |
| Other Organization Name | KIDZ RX |
| Practice Address |
711 Crystal Lake Rd Lutz FL 33548-6431 |
| Practice Telephone | 7273891339 |
| Mailing Telephone | 7273891339 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | GRACE PORTOGHESE (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 7273891339 |
| Authorized Official Credential | OT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Kidz Rx | Doing Business As Name - Organization |
| Street Address |
711 CRYSTAL LAKE RD |
| City | LUTZ |
| State | FL |
| Zip Code | 33548-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205337821 | Chiros On 54 LLC | Chiropractor | 1003 N Dale Mabry Hwy, Lutz, FL 33548 | 2018-02-28 |
| 1295233666 | Issac M Arroyo | Behavior Technician | 18288 Us 41, Lutz, FL 33548 | 2018-01-31 |
| 1699293225 | Lettuce Lake Emergency Physicians LLC | Physician Assistant | 1430 Dale Mabry Highway, Lutz, FL 33548 | 2017-09-04 |
| 1780010512 | Yanina Abaunza-fiallos Md Pa | Pediatrics | 17541 N. Dale Mabry Hwy., Lutz, FL 33548 | 2013-09-25 |
| 1891138459 | Atlas Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 3859 Van Dyke Rd, Suite 161, Lutz, FL 33548 | 2013-04-14 |
| 1407122492 | Tania Isabel Mendoza | Pathology | 19045 N Dale Mabry Hwy, Lutz, FL 33548 | 2012-03-24 |
| 1528362944 | Life Discovery Counseling Center | Counselor | 18371 Exciting Idlewild Blvd, Lutz, FL 33548 | 2010-12-28 |
| 1356643423 | Heidi Jane Pickering | Chiropractor | 19011 N Dale Mabry, Lutz, FL 33548 | 2010-11-23 |
| 1992015762 | Yolanda R. Harper | Social Worker | 1527 Dale Mabry Hwy Ste 103, Lutz, FL 33548 | 2010-10-14 |
| 1821231846 | Michael Lee Bishop | Psychologist | 18958 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 | 2009-04-07 |
| Find all providers in zip 33548 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821284837 | Michele K Staudenmaier | Occupational Therapist | 5305 Pagnotta Pl, Lutz, FL 33558-8046 | 2007-09-24 |
| 1962893750 | Jamie L. Clark | Occupational Therapist | 18288 N Us Hwy 41, Lutz, FL 33549 | 2015-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533155 | Ot Skills 4 Kids LLC | Occupational Therapist | 1320 Bristol Oaks Way, Orlando, FL 32825-7237 | 2020-09-16 |
| 1629680392 | Danielle Hicken | Occupational Therapist | 504 S Armenia Ave Unit 1324, Tampa, FL 33609-3391 | 2020-08-23 |
| 1982221792 | Gizelle Galliguez | Occupational Therapist | 3609 Data Dr Apt 203, Tampa, FL 33613-6156 | 2020-06-26 |
| 1265054753 | Pediatric Therapt Connections | Occupational Therapist | 3312 Nw Willow Creek Dr, Jensen Beach, FL 34957-3407 | 2020-05-07 |
| 1831718071 | Look Up Therapy LLC | Occupational Therapist | 6419 64th Way, West Palm Beach, FL 33409-7148 | 2020-04-08 |
| 1750916417 | Play The Ot Way LLC | Occupational Therapist | 812 Laurel St, Clewiston, FL 33440-2428 | 2020-03-03 |
| 1548807597 | Areanne Aragon | Occupational Therapist | 10735 Canyon Bay Ln, Boynton Beach, FL 33473-4847 | 2019-12-09 |
| 1295370062 | Teresa Lopez | Occupational Therapist | 7926 W 29th Ln Apt 202, Hialeah, FL 33018-5154 | 2019-11-15 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1972151470 | Jasmine F Colon | Occupational Therapist | 207 Park Place Blvd # 201, Kissimmee, FL 34741-2373 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
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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.