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NPI Code Detail

MEDICARE: LAND OF THERAPY LLC

MEDICARE: LAND OF 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
1235Z00000XSpeech-Language Pathologist

Other Identifiers

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

General Provider Information

NPI Number : 1255941670
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAND OF THERAPY LLC
Provider Business Mailing Address
First Line : 40906 HIGHWAY 27
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-7893
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 40906 HIGHWAY 27
Second Line :
City : DAVENPORT
State : FL
Zip : 33837-7893
Country : US
Telephone Number : 407-569-8981
Fax Number : 407-565-8065
Authorized Official
Title or Position : OWNER
Name : MELANIE PAGAN RIVERA
Credential :
Telephone Number : 787-310-7391
Provider Enumeration Date : 08/01/2020
Last Update Date : 01/15/2026

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Directions to “LAND OF 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.