Provider Demographics
NPI:1770179798
Name:HOME THERAPY PARTNERS, LLC
Entity Type:Organization
Organization Name:HOME THERAPY PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:STA MARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-988-7556
Mailing Address - Street 1:10605 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:GOTHA
Mailing Address - State:FL
Mailing Address - Zip Code:34734-4704
Mailing Address - Country:US
Mailing Address - Phone:407-988-7556
Mailing Address - Fax:
Practice Address - Street 1:10605 MOORE RD
Practice Address - Street 2:
Practice Address - City:GOTHA
Practice Address - State:FL
Practice Address - Zip Code:34734-4704
Practice Address - Country:US
Practice Address - Phone:407-988-7556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty