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

Prodigy Medical

Organization Occupational Therapy Assistant · NPI 1386887602

Prodigy Medical is an Occupational Therapy Assistant in Jupiter, Florida. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
5

Practice location Address checks out

222 Seabreeze Cir
Jupiter, FL 33477-6420
Phone: (561) 277-9107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1386887602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvette Vandiver — Owner · (561) 277-9107
NPI enumeratedApril 16, 2009
Last updated in NPPESApril 16, 2009
Mailing address222 Seabreeze Cir, Jupiter, FL 33477-6420

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