MEDICARE: DEDICATED PEDIATRIC THERAPY INC

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

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	:	1568927747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEDICATED PEDIATRIC THERAPY INC

Provider Business Mailing Address
First Line	:	261 N UNIVERSITY DR STE 500-26
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-2002
Country	:	US
Telephone Number	:	207-592-6617
Fax Number	:	754-300-1738

Provider Business Practice Location Address
First Line	:	261 N UNIVERSITY DR STE 500-26
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-2002
Country	:	US
Telephone Number	:	207-592-6617
Fax Number	:	754-300-1738

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MONICA BELANGER
Credential	:	OTR/L
Telephone Number	:	207-592-6617

Provider Enumeration Date	:	02/01/2019
Last Update Date	:	08/04/2023

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Directions to “DEDICATED PEDIATRIC THERAPY INC ” Practice Location

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