Organization · Type 2 NPI

Providence Pediatric Therapy

Pediatric Physical Therapist · Tampa, FL

NPI number 1477132579 Active

Practice location

7616 W Courtney Campbell Cswy Unit 210
Tampa, FL 33607-1533

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1477132579

Providence Pediatric Therapy's National Provider Identifier is 1477132579, issued on Apr 6, 2021. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Tampa, FL. The record was last updated on Sep 11, 2025.