Provider Demographics
NPI:1629766274
Name:PATHWAYS TO PROGRESS THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:PATHWAYS TO PROGRESS THERAPY SERVICES, LLC
Other - Org Name:PATHWAYS TO PROGRESS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:561-213-4538
Mailing Address - Street 1:5820 NW 60TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4424
Mailing Address - Country:US
Mailing Address - Phone:561-213-4538
Mailing Address - Fax:
Practice Address - Street 1:398 CAMINO GARDENS BLVD STE 207
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5827
Practice Address - Country:US
Practice Address - Phone:561-523-3211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty