MEDICARE: SEA STEPS PEDIATRIC THERAPY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225XP0200X	Pediatric Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	2251P0200X	Pediatric Physical Therapist

General Provider Information

NPI Number	:	1588531206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEA STEPS PEDIATRIC THERAPY

Provider Business Mailing Address
First Line	:	99 WAVERLY LN
Second Line	:
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-7805
Country	:	US
Telephone Number	:	404-803-0679
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 TIMBER TRAIL RD
Second Line	:
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-9415
Country	:	US
Telephone Number	:	912-803-0679
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	GINA HALDEMAN
Credential	:	PT, DPT
Telephone Number	:	404-803-0679

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	10/17/2025

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Directions to “SEA STEPS PEDIATRIC THERAPY ” Practice Location

Language	Start Address	Practice Location

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