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1043483969

NPI Code Detail

MEDICARE: FLORIDA PEDIATRIC THERAPY, LLC

MEDICARE: FLORIDA PEDIATRIC THERAPY, LLC

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	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist
3	224Z00000X	Occupational Therapy Assistant
4	225100000X	Physical Therapist
5	222Q00000X	Developmental Therapist
6	225200000X	Physical Therapy Assistant
7	252Y00000X	Early Intervention Provider Agency
8	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043483969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA PEDIATRIC THERAPY, LLC

Provider Business Mailing Address
First Line	:	2130 MICHIGAN AVE # 314
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-2927
Country	:	US
Telephone Number	:	407-641-0808
Fax Number	:

Provider Business Practice Location Address
First Line	:	12901 BROLEMAN RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-6107
Country	:	US
Telephone Number	:	407-641-0808
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	CAROLINE L BIAS
Credential	:	MS CCC-SLP
Telephone Number	:	407-641-0808

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	01/04/2026

Similar Medicare Providers

1356362503 — MRS. CAROLINE L BIAS M.S., CCC-SLP
Practice Location Address:

12901 BROLEMAN RD
ORLANDO, FL
32832-6107

Practice Phone: 321-947-6282
Practice Fax:

1982977229 — MRS. JOY E. SHIPLEY M.A CCC-SLP
Practice Location Address:

12901 BROLEMAN RD
ORLANDO, FL
32832-6107

Practice Phone: 407-641-0808
Practice Fax: 407-812-4358

1205267762 — ANDREA RUSSELL
Practice Location Address:

12901 BROLEMAN RD
ORLANDO, FL
32832-6107

Practice Phone: 407-641-0808
Practice Fax: 407-812-4358

1326452269 — KELLY WORSFOLD
Practice Location Address:

12901 BROLEMAN RD
ORLANDO, FL
32832-6107

Practice Phone: 407-641-0808
Practice Fax: 407-812-4358

1467853390 — ANA MARIE VELEZ
Practice Location Address:

12901 BROLEMAN RD
ORLANDO, FL
32832-6107

Practice Phone: 407-641-0808
Practice Fax: 407-812-4358

1588020366 — VALERIE PLANTE SMITH PT
Practice Location Address:

12901 BROLEMAN RD
ORLANDO, FL
32832-6107

Practice Phone: 407-641-0808
Practice Fax: 407-812-4358

Directions to “FLORIDA PEDIATRIC THERAPY, LLC ” 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.

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