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

Providence Pediatric Therapy

Organization Pediatric Physical Therapist · NPI 1477132579

Providence Pediatric Therapy is a Pediatric Physical Therapist in Tampa, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

7616 W Courtney Campbell Cswy Unit 210
Tampa, FL 33607-1533
Phone: (815) 505-5545
Show map & directions

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

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X

Record details

NPI number1477132579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hannah Berge — Occupational Therapist · (815) 505-5545
NPI enumeratedApril 6, 2021
Last updated in NPPESSeptember 11, 2025
Certification dateApril 6, 2021
Mailing address7616 W Courtney Campbell Cswy Unit 210, Tampa, FL 33607-1533

Other providers in Tampa