OrganizationActive
Easterseals Northeast Central Florida
NPI 1376631747 · Pediatric Physical Therapist · Daytona Beach, FL
Provider details
- NPI number
- 1376631747
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Beverly Johnson, Ceo (president)(386) 255-4568
- License
- PT 14797 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1219 Dunn Ave
Daytona Beach, FL 32114
Phone: (386) 255-4568
Fax: (386) 258-7677
Approximate (ZIP-level) locationGet directions
Mailing address
1219 Dunn Ave
Daytona Beach, FL 32114-2405
Other names (DBA / former)
- Doing business as
- Easter Seals
- Doing business as
- Easter Seals
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2018-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.