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Easterseals Northeast Central Florida

Pediatric Physical Therapist in Daytona Beach, FL · enumerated 2006 · authorized official Beverly Johnson, Ceo (President).

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376631747

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Registry record

Entity type Organization (Type 2)
Legal business name Easterseals Northeast Central Florida
Other name <Unavail>
Practice address 1219 Dunn Ave, Daytona Beach, FL, 32114
Phone (386) 255-4568
Fax (386) 258-7677
Enumeration date Oct 11, 2006
Last updated in NPPES May 29, 2018

Taxonomy & classification

2251P0200X Pediatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT 14797 (FL) Primary

Authorized official

Name Beverly Johnson
Title Ceo (President)
Phone (386) 255-4568

Other identifiers

Identifier Type State Issuer
883828300 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Easterseals Northeast Central Florida?
NPPES lists Beverly Johnson (Ceo (President)) as the authorized official for this organization.
What is the NPI number for Easterseals Northeast Central Florida?
The NPI for Easterseals Northeast Central Florida is 1376631747, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-29.