Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nourish Pediatric Therapy, LLC

Organization Physical Therapist · NPI 1265942205

Nourish Pediatric Therapy, LLC is a Physical Therapist in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 Jake St Unit 105
Orlando, FL 32814-5915
Phone: (407) 227-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Physical Therapist Taxonomy 225100000X (FL)
Occupational Therapist Taxonomy 225X00000X (FL)
Speech-Language Pathologist Taxonomy 235Z00000X (FL)
Early Intervention Provider Agency Taxonomy 252Y00000X (FL)

Record details

NPI number1265942205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Stevens — Speech-Language Pathologist · (407) 227-8370
NPI enumeratedOctober 4, 2017
Last updated in NPPESDecember 1, 2017
Mailing address1900 Jake St Unit 105, Orlando, FL 32814-5915

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