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NPI Code Detail

MEDICARE: AWAKEN PEDIATRIC THERAPIES

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
1251E00000XHome 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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Directions to “AWAKEN PEDIATRIC THERAPIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.