Provider Demographics
NPI:1790043255
Name:THE FLOORTIME CENTER
Entity Type:Organization
Organization Name:THE FLOORTIME CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-657-1130
Mailing Address - Street 1:4827 RUGBY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3034
Mailing Address - Country:US
Mailing Address - Phone:301-657-1130
Mailing Address - Fax:
Practice Address - Street 1:4827 RUGBY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3034
Practice Address - Country:US
Practice Address - Phone:301-657-1130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty