Provider Demographics
NPI:1003452582
Name:NORTH NAPLES THERAPY & ENRICHMENT SERVICES, P.A.
Entity Type:Organization
Organization Name:NORTH NAPLES THERAPY & ENRICHMENT SERVICES, P.A.
Other - Org Name:NORTH NAPLES OCCUPATIONAL THERAPY SERVICES, P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:239-597-0935
Mailing Address - Street 1:1421 PINE RIDGE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2116
Mailing Address - Country:US
Mailing Address - Phone:239-597-0935
Mailing Address - Fax:239-597-0031
Practice Address - Street 1:1421 PINE RIDGE RD STE 120
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2116
Practice Address - Country:US
Practice Address - Phone:239-597-0935
Practice Address - Fax:239-597-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty