IndividualActive
Daisy Wiman, ITDS
NPI 1831246453 · Early Intervention Provider Agency · Port Charlotte, FL
Provider details
- NPI number
- 1831246453
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- ITDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 101Y00000X (FL)
Specialties & taxonomies
Agencies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
137 Peckham St Sw
Port Charlotte, FL 33952
Phone: (239) 692-5432
Street-level locationGet directions
Mailing address
137 Peckham St Sw
Port Charlotte, FL 33952-9136
Additional practice locations (1)
- 312 Spider Lily LnNaples, FL 34119-9782Phone: (239) 825-4287Fax: (239) 304-5230
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2019-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.