Provider Demographics
NPI:1508584574
Name:THERAPY GEEKS
Entity Type:Organization
Organization Name:THERAPY GEEKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-348-1854
Mailing Address - Street 1:38814 CARMEL DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-5275
Mailing Address - Country:US
Mailing Address - Phone:954-560-7610
Mailing Address - Fax:954-489-1212
Practice Address - Street 1:38814 CARMEL DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-5275
Practice Address - Country:US
Practice Address - Phone:954-560-7610
Practice Address - Fax:954-489-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL886600700Medicaid