Bayside Therapy
Occupational Therapist, Physical Rehabilitation in Melbourne, FL. Organization (NPI-2).
NPI number1922897479
StatusActive
Last updated in NPPESMay 5, 2025
Details
- NPI
- 1922897479
- Entity type
- Organization (NPI-2)
- Legal business name
- Bayside Therapy
- Organization subpart
- No
- Enumeration date
- May 1, 2025
- Certification date
- May 5, 2025
- Last updated
- May 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | – | – | Yes |
| 2081P0010X | Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 2251C2600X | – | – | ||
| 2251E1200X | Physical Therapist, Ergonomics | – | – | |
| 2251N0400X | Physical Therapist, Neurology | – | – | |
| 2251P0200X | Physical Therapist, Pediatrics | – | – | |
| 225XF0002X | Occupational Therapist, Feeding, Eating & Swallowing | – | – | |
| 225XL0004X | Occupational Therapist, Low Vision | – | – | |
| 225XM0800X | Occupational Therapist, Mental Health | – | – | |
| 225XN1300X | Occupational Therapist, Neurorehabilitation | – | – | |
| 227800000X | Respiratory Therapist, Certified | – | – | |
| 2278P3900X | Respiratory Therapist, Certified, Neonatal/Pediatrics | – | – | |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
2075 Meadowlane AveMelbourne, FL 32904-4951
Phone 321-806-9395
Mailing address
674 Old Country Rd SePalm Bay, FL 32909-6903
Phone 321-806-9395
Authorized official
Crystal Young
Ceo
3218069395
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