Provider Demographics
NPI: | 1750707642 |
---|---|
Name: | CHILDRENFIRST THERAPY SERVICES, INC. |
Entity type: | Organization |
Organization Name: | CHILDRENFIRST THERAPY SERVICES, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CLINIC DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | ANGELA |
Authorized Official - Middle Name: | N |
Authorized Official - Last Name: | HARRIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OTR/L, MOT, MED |
Authorized Official - Phone: | 407-513-3077 |
Mailing Address - Street 1: | 4448 EDGEWATER DR |
Mailing Address - Street 2: | |
Mailing Address - City: | ORLANDO |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32804-1216 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 407-513-3000 |
Mailing Address - Fax: | 407-515-6537 |
Practice Address - Street 1: | 3064 LIONS CT |
Practice Address - Street 2: | |
Practice Address - City: | KISSIMMEE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34744-1539 |
Practice Address - Country: | US |
Practice Address - Phone: | 407-513-3000 |
Practice Address - Fax: | 407-515-6537 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-03-15 |
Last Update Date: | 2016-12-21 |
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 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |
No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
No | 227800000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Group - Multi-Specialty | |
No | 2278P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Neonatal/Pediatrics | Group - Multi-Specialty |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |