MEDICARE: AWAKEN PEDIATRIC THERAPIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1528944576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AWAKEN PEDIATRIC THERAPIES

Provider Business Mailing Address
First Line	:	5565 CREPE MYRTLE CIR
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7389
Country	:	US
Telephone Number	:	615-483-1120
Fax Number	:

Provider Business Practice Location Address
First Line	:	5565 CREPE MYRTLE CIR
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-7389
Country	:	US
Telephone Number	:	615-483-1120
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	SAVANNAH RAE ALDERMAN
Credential	:	OTD, OTR/L
Telephone Number	:	615-483-1120

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	08/14/2025

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