Provider Demographics
NPI:1912141078
Name:NEW BEGINNINGS THERAPY, LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OTR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-519-0865
Mailing Address - Street 1:4363 S QUEBEC ST
Mailing Address - Street 2:#6111
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4363 S QUEBEC ST
Practice Address - Street 2:#6111
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2646
Practice Address - Country:US
Practice Address - Phone:513-519-0865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2491225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty