Provider Demographics
NPI: | 1366689408 |
---|---|
Name: | THERAPIES 4 KIDS, INC. |
Entity Type: | Organization |
Organization Name: | THERAPIES 4 KIDS, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | EILEEN |
Authorized Official - Middle Name: | SUE |
Authorized Official - Last Name: | DE OLIVEIRA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 954-608-9930 |
Mailing Address - Street 1: | 1311 N PALM AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | PEMBROKE PINES |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33026-3345 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 954-356-2878 |
Mailing Address - Fax: | 954-241-6726 |
Practice Address - Street 1: | 1311 N PALM AVE |
Practice Address - Street 2: | |
Practice Address - City: | PEMBROKE PINES |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33026-3345 |
Practice Address - Country: | US |
Practice Address - Phone: | 954-356-2878 |
Practice Address - Fax: | 954-241-6726 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-01-12 |
Last Update Date: | 2021-04-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
224Z00000X, 225200000X, 2355S0801X | ||
FL | 3490001618 | 225100000X, 225X00000X, 235Z00000X |
FL | PT25052 | 225100000X |
FL | SA249 | 235Z00000X |
FL | ME37619 | 261Q00000X |
FL | PT30816 | 261QP2000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Multi-Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Multi-Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
No | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |