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Organization

PEDIATRIC THERAPY GROUP SERVICES

Active
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Organization

PEDIATRIC THERAPY GROUP SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBIN MAE MEDEIROS OTR/L (OWNER)
(508) 320-0883
Entity
Organization

Contact information

Practice address
4440B 26TH ST W, BRADENTON, FL 34207-1201
(941) 752-0408
(941) 752-0408
Mailing address
4440B 26TH ST W, BRADENTON, FL 34207-1201
(941) 752-0408
(941) 752-0408

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT21400
FL
225XP0200X
Pediatric Occupational Therapist
OT11414
FL
235Z00000X
Speech-Language Pathologist
Primary
SA7026
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19179
STAYWELL
FL
01
—
288648
AMERIGROUP
FL
Enumeration date
10/06/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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  • EDI platform