Organization
PEDIATRIC THERAPY SERVICES, INC.
Active
Organization
PEDIATRIC THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAHAM KILBURN (OWNER/PRESIDENT)
(813) 662-1060
Entity
Organization
Contact information
Practice address
206 RIDGEWOOD AVE, BRANDON, FL 33510
(813) 662-1060
(813) 662-0530
Mailing address
206 RIDGEWOOD AVE, BRANDON, FL 33510-4617
(813) 662-1060
(813) 662-0530
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT5990
FL
225XP0200X
Pediatric Occupational Therapist
OT1478
FL
235Z00000X
Speech-Language Pathologist
SA7398
FL
261Q00000X
Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
PT2549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024393800
—
FL
01
—
13424302
CITRUS COMMERCIAL/HMO
FL
01
—
6406221
UNITED HEALTHCARE
FL
01
—
664175
AETNA
FL
05
—
8803579-01
—
FL
05
—
8803579-04
—
FL
01
—
8810363001
CIGNA
FL
01
—
Y906F
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/05/2008
Last updated
08/20/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up