Provider Demographics
NPI:1629801501
Name:LITTLE MAGIC THERAPIES, LLC
Entity type:Organization
Organization Name:LITTLE MAGIC THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:SAMANTHA
Authorized Official - Last Name:BLANDON CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-803-0324
Mailing Address - Street 1:21215 NW 14TH PL APT 226
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-7450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1001 W JEFFERSON AVE # 30015E
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48226-4508
Practice Address - Country:US
Practice Address - Phone:786-803-2417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty