Provider Demographics
| NPI: | 1861822934 |
|---|---|
| Name: | SIMPLY SENSATIONAL THERAPY LLC |
| Entity Type: | Organization |
| Organization Name: | SIMPLY SENSATIONAL THERAPY LLC |
| Other - Org Name: | SIMPLY SENSATIONAL THERAPY |
| Other - Org Type: | Doing Business As |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | KRISTEN |
| Authorized Official - Middle Name: | MARIE |
| Authorized Official - Last Name: | PATAKI |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | OTD OTR/L |
| Authorized Official - Phone: | 440-567-3648 |
| Mailing Address - Street 1: | 4925 E 93RD ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GARFIELD HEIGHTS |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 44125-2104 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 440-567-3648 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 4925 E 93RD ST |
| Practice Address - Street 2: | |
| Practice Address - City: | GARFIELD HEIGHTS |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 44125-2104 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 440-567-3648 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2013-11-26 |
| Last Update Date: | 2013-11-26 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225XE0001X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Environmental Modification | Group - Multi-Specialty |
| No | 225XE1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Ergonomics | Group - Multi-Specialty |
| No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Multi-Specialty |
| No | 225XG0600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology | Group - Multi-Specialty |
| No | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand | Group - Multi-Specialty |
| No | 225XM0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Mental Health | Group - Multi-Specialty |
