Provider Demographics
NPI:1750425914
Name:THERAPEDI INC
Entity type:Organization
Organization Name:THERAPEDI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:KAREN
Authorized Official - Last Name:VERONESE
Authorized Official - Suffix:
Authorized Official - Credentials:MOTRL
Authorized Official - Phone:954-445-4236
Mailing Address - Street 1:9411 NW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-3237
Mailing Address - Country:US
Mailing Address - Phone:954-445-4236
Mailing Address - Fax:
Practice Address - Street 1:9411 NW 24TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3237
Practice Address - Country:US
Practice Address - Phone:954-445-4236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL225100000X
FLOT9572225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty